Organization · Type 2 NPI

Highland Park Cvs, L.l.c

Community/Retail Pharmacy · Peoria, IL

NPI number 1770035636 Active

Practice location

10405 N Centerway Dr
Peoria, IL 61615-1233

Call (309) 621-7342 Map

Fax (309) 621-7343

Mailing address

1 Cvs Drive, Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Diabetes Educator Registered Nurse	163WD0400X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	054020076 (IL)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Peoria

See all in Peoria →

NPI record

NPI: 1770035636
Entity type: Organization (Type 2)
Issued: Oct 26, 2016
Last updated: Jul 14, 2020
Status: Active

Other names

<unavail>
CVS Pharmacy #18092 · doing business as
Schnucks Pharmacy · doing business as
Schnucks Pharmacy · doing business as

Authorized official

Susan Colbert
Sr. Director, Payer Relations
(401) 770-2751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1770035636

Highland Park Cvs, L.l.c's National Provider Identifier is 1770035636, issued on Oct 26, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Peoria, IL. The record was last updated on Jul 14, 2020.