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HIGHLAND PARK CVS L.L.C. NPI 1972751014


NPI Information

NPI: 1972751014
Provider Name: HIGHLAND PARK CVS, L.L.C.

Doing Business As: CVS PHARMCAY # 04061

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
520 S. STATE STREET
CHICAGO, IL
ZIP 60605
Phone: (312) 697-0021
Get Directions

HIGHLAND PARK CVS, L.L.C. 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, L.L.C. NPI is 1972751014. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmcay # 04061.

The provider's business location address is:

520 S. STATE STREET
CHICAGO, IL
ZIP 60605
Phone: (312) 697-0021

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Mgr Phcy Enrollments and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 10/8/2014.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========019MEDICAIDILLINOIS
21482443OTHERILLINOISNCPDP
34723660097MEDICARE NSCILLINOIS
4215907MEDICARE 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.