HIGHLAND PARK CVS L.L.C. NPI 1871729988

NPI Information

  • NPI: 1871729988
  • Provider Name: HIGHLAND PARK CVS, L.L.C.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: CVS PHARMACY # 08926
  • CLIA Number: 14D2217473
  • Address: 983 IL ROUTE 59
    ANTIOCH, IL
    ZIP 60002
  • Phone: (847) 395-5691

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NPI Details

HIGHLAND PARK CVS, L.L.C. is a pharmacy in Antioch, 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 1871729988. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 08926.

The provider's business location address is:

983 IL ROUTE 59
ANTIOCH, IL
ZIP 60002-453
Phone: (847) 395-5691

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

The CLIA number assigned to this NPI record is 14D2217473 - pharmacy with a certificate type of Certificate of Waiver.

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.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • 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 6/3/2009 and was last updated on 10/20/2014.

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 SuppliesILLINOISNo
23336C0003XPharmacyCommunity/Retail PharmacyILLINOISNo
3333600000XPharmacyILLINOISYes

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
1215981MEDICARE PINILLINOIS
21483382OTHERILLINOISNCPDP
3=========029MEDICAIDILLINOIS
4P00959569MEDICARE PINILLINOIS
54723660107MEDICARE NSC

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

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