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Export Provider Record NPI 1063434876
Highland Park Cvs Llc
Organization Subpart: NO
Active
NPI Number1063434876
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1063434876
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-24
Last Updated2016-08-29
Authorized OfficialSusan Colbert
Sr. Director, Payer Relations
Phone: 4017702751
Mailing Address1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500
📍 View Map
Primary Practice Address401 W Irving Park Rd
Wood Dale, IL 60191-1338
United States
Phone: (630) 594-5520 | Fax: (630) 875-8020
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2022307PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
No3336C0003X – Pharmacy, Community/Retail PharmacyIL054.019733
Yes333600000X – Pharmacy
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About NPI 1063434876

Highland Park Cvs Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063434876. The primary specialty listed is Pharmacy. The organization is located in Wood Dale, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063434876?

NPI 1063434876 belongs to Highland Park Cvs Llc, a Pharmacy in Wood Dale, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063434876 active?

The current status of NPI 1063434876 in the NPPES registry is Active. The record was last updated on 2016-08-29.

What specialty is NPI 1063434876?

NPI 1063434876 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063434876?

You can verify NPI 1063434876 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063434876?

The primary practice address on file for NPI 1063434876 is 401 W Irving Park Rd, Wood Dale, IL 60191-1338. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063434876 issued?

NPI 1063434876 was first issued (enumerated) on 2006-07-24. The NPPES record was last updated on 2016-08-29.

Practice Location Map

Highland Park Cvs Llc is located at 401 W Irving Park Rd, Wood Dale, IL. Use the map below to find directions or verify the practice location.

📍 401 W Irving Park Rd, Wood Dale, IL 60191-1338  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Highland Park Cvs Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063434876. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy054.019733IL
Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162