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HIGHLAND PARK CVS LLC NPI 1932140803


NPI Information

NPI: 1932140803
Provider Name: HIGHLAND PARK CVS LLC

Doing Business As: CVS PHARMACY #08750

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 14D2218215

Address:
4801 N CENTRAL AVE
CHICAGO, IL
ZIP 60630
Phone: (773) 282-2828
Get Directions

HIGHLAND PARK CVS LLC is a pharmacy in Chicago, 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 LLC NPI is 1932140803. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #08750.

The provider's business location address is:

4801 N CENTRAL AVE
CHICAGO, IL
ZIP 60630-211
Phone: (773) 282-2828

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Manager Pharmacy Enrollments and has the following contact phone number (401) 770-2937.

The CLIA number assigned to this NPI record is 14D2218215 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11478925OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
24723660050MEDICARE NSC
3215907MEDICARE PIN
4P00754411MEDICARE PIN

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: 11/14/2023

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.