| NPI | 1063454254 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-12 |
| Last Updated | 2023-01-19 |
| Authorized Official | Susan Colbert Director Phone: 4017651500 |
| Mailing Address | 1 Cvs Dr, Po Box 1075 Woonsocket, RI 02895-6146 United States 📍 View Map |
| Primary Practice Address | 1316 Charleston Ave Mattoon, IL 61938-4016 United States Phone: (217) 258-2920 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 1479131 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 333600000X – Pharmacy | — | — |
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About NPI 1063454254
Highland Park Cvs Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063454254. The primary specialty listed is Pharmacy. The organization is located in Mattoon, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063454254?
NPI 1063454254 belongs to Highland Park Cvs Llc, a Pharmacy in Mattoon, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063454254 active?
The current status of NPI 1063454254 in the NPPES registry is Active. The record was last updated on 2023-01-19.
What specialty is NPI 1063454254?
NPI 1063454254 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 1063454254?
You can verify NPI 1063454254 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 1063454254?
The primary practice address on file for NPI 1063454254 is 1316 Charleston Ave, Mattoon, IL 61938-4016. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063454254 issued?
NPI 1063454254 was first issued (enumerated) on 2006-06-12. The NPPES record was last updated on 2023-01-19.
Practice Location Map
Highland Park Cvs Llc is located at 1316 Charleston Ave, Mattoon, IL. Use the map below to find directions or verify the practice location.
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.