Active NPI
Highland Park CVS LLC
Doing business as CVS Pharmacy # 10467
- Pharmacy
- Glenview, IL
National Provider Identifier
1588063226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HIGHLAND PARK CVS LLC
- Doing business as
- CVS Pharmacy # 10467
- Practice address
- 3780 Willow Rd
Glenview, IL 60025 - Phone
- (847) 326-1201
- NPI assigned
- Aug 19, 2014
- Last updated
- Aug 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 765-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | ||
| Pharmacy | 333600000X | IL | Primary | |
| Community/Retail Pharmacy | 3336C0003X | IL |
Addresses
Primary practice location
3780 Willow Rd
Glenview, IL 60025
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS PHARMACY # 10467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080103000235 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 2860572856 | This NPI is an additional NPI on the enrollment |
| O20141226000242 | IL | DME Supplier - Pharmacy | 2860572856 | Practice locations: Northbrook, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Highland Park CVS LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba CVS Pharmacy #10607
- Community/Retail Pharmacy
- Dwight, IL
- NPI 1558446633
-
dba CVS Pharmacy #18033
- Community/Retail Pharmacy
- Cahokia, IL
- NPI 1558397802
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722556800000",
"number": "1588063226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 WILLOW RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60025",
"telephone_number": "847-326-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND PARK CVS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-19",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-765-1500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY # 10467",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.