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HIGHLAND PARK CVS L.L.C. NPI 1558592949


NPI Information

NPI: 1558592949
Provider Name: HIGHLAND PARK CVS, L.L.C.

Doing Business As: CVS PHARMACY# 07020

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1701 FORT JESSE RD
NORMAL, IL
ZIP 61761
Phone: (309) 452-1370
Get Directions

HIGHLAND PARK CVS, L.L.C. is a pharmacy in Normal, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HIGHLAND PARK CVS, L.L.C. NPI is 1558592949. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy# 07020.

The provider's business location address is:

1701 FORT JESSE RD
NORMAL, IL
ZIP 61761-285
Phone: (309) 452-1370

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Managed Care Contract Adm and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 10/15/2014.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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
14723660115MEDICARE NSC
2P00959569MEDICARE PINILLINOIS
31483623OTHERNCPDP
4=========037MEDICAIDILLINOIS
5215982MEDICARE PINILLINOIS

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: 5/5/2024

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