CVS PHARMACY #17717 – NPI #1538686357
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

CVS PHARMACY #17717 is a pharmacy located in OAK PARK, IL. NPPES has assigned the NPI number 1538686357 to CVS PHARMACY #17717 on August 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #17717” is a dba name, the actual legal business name for this organization is HIGHLAND PARK CVS LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CVS PHARMACY #17717 below.

NPI Profile for
HIGHLAND PARK CVS LLC

NPI Number
1538686357
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HIGHLAND PARK CVS LLC
Doing Business As (dba): CVS PHARMACY #17717
Primary location
1129 LAKE ST.
OAK PARK, IL 60301
Phone: (708) 383-0267 Fax:
Mailing address
1 CVS DR
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax: (401) 770-7108
Organization Subpart
No
Authorized Official
SUSAN COLBERT
SR. DR, PAYER RELATIONS
Phone: (401) 770-2751
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.