MEDICARE: HIGHLAND PARK CVS, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	IL
2	3336C0003X	Community/Retail Pharmacy	IL
3	333600000X	Pharmacy	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1482924	OTHER	IL	NCPDP

General Provider Information

NPI Number	:	1497993232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND PARK CVS, L.L.C.

Provider Business Mailing Address
First Line	:	ONE CVS DRIVE
Second Line	:	BOX 1075 - PHARMACY ENROLLMENTS
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	936 S. MAIN ST.
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-3014
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	02/02/2009
Last Update Date	:	10/08/2014

Similar Medicare Providers

1013511302 — DANIELLE ALYSSE DAYKIN PHARM D
Practice Location Address:

936 S MAIN ST
JACKSONVILLE, IL
62650-3014

Practice Phone: 217-243-1728
Practice Fax:

1952905101 — TRACY LEANN FLANAGAN
Practice Location Address:

936 S MAIN ST
JACKSONVILLE, IL
62650-3014

Practice Phone: 217-243-1728
Practice Fax: 217-143-8380

1649024597 — MS. SANSHEA GREEN
Practice Location Address:

5821 SAN JUAN AVE APT 130
JACKSONVILLE, FL
32210-3014

Practice Phone: 904-731-6327
Practice Fax:

1710731567 — GLORY BOUND HANDS FOR HEALTH LLC
Practice Location Address:

5821 SAN JUAN AVE APT 130
JACKSONVILLE, FL
32210-3014

Practice Phone: 904-731-6327
Practice Fax:

1568184976 — CARA MARIE CRAIN FNP-C
Practice Location Address:

15 FOUNDERS LN
JACKSONVILLE, IL
62650-3919

Practice Phone: 217-291-1041
Practice Fax:

1073228664 — SPRINGFIELD CLINIC LLP
Practice Location Address:

1000 W MORTON AVE
JACKSONVILLE, IL
62650-3152

Practice Phone: 217-243-6520
Practice Fax:

Directions to “HIGHLAND PARK CVS, L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.