HIGHLAND PARK CVS L.L.C. NPI 1558397802

NPI Information

NPI: 1558397802
Provider Name: HIGHLAND PARK CVS, L.L.C.
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: CVS PHARMACY #18033
Address: 1615 CAMP JACKSON RD
CAHOKIA, IL
ZIP 62206
Phone: (618) 332-0676

Map and Directions

Get Directions

NPI Details

HIGHLAND PARK CVS, L.L.C. is a community/retail pharmacy pharmacy in Cahokia, IL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HIGHLAND PARK CVS, L.L.C. NPI is 1558397802. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cvs Pharmacy #18033.

The provider's business location address is:

1615 CAMP JACKSON RD
CAHOKIA, IL
ZIP 62206-539
Phone: (618) 332-0676
Fax: (618) 332-0677

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Administration of influenza virus vaccine (HCPCS:G0008)
Fee covid-19 vac 14 res (HCPCS:0134A)
Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 6/25/2006 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator			No
2	261QM2500X	Clinic/Center	Medical Specialty			No
3	332B00000X	Durable Medical Equipment & Medical Supplies		054009103	ILLINOIS	No
4	333600000X	Pharmacy		054009103	ILLINOIS	No
5	3336C0003X	Pharmacy	Community/Retail Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	430726776148	MEDICAID	ILLINOIS
2	1453985	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI