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	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	054-011795	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1404386	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1558464321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND PARK CVS, L.L.C.

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:	401-770-7108

Provider Business Practice Location Address
First Line	:	2703 STEVENSON DR
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62703-4427
Country	:	US
Telephone Number	:	217-529-5468
Fax Number	:

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	01/18/2023

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1629672902 — DR. TEAGAN MARY RYAN PHARMD
Practice Location Address:

2703 STEVENSON DR
SPRINGFIELD, IL
62703-4427

Practice Phone: 217-529-5468
Practice Fax: 217-529-5270

1174127187 — MARCUS ALLEN MUSSATTO
Practice Location Address:

2703 STEVENSON DR
SPRINGFIELD, IL
62703-4427

Practice Phone: 217-529-5468
Practice Fax:

1538757331 — DR. ANITA ABDO PHARMD
Practice Location Address:

2703 ADLAI STEVENSON DR
SPRINGFIELD, IL
62703-4427

Practice Phone: 217-529-5468
Practice Fax:

1629208285 — ARLENE ANN-MARIE EDWARDS RN
Practice Location Address:

14631 231ST ST , 1ST FLOOR
SPRINGFIELD GARDENS, NY
11413-4427

Practice Phone: 347-548-4157
Practice Fax: 347-548-4157

1336955939 — CRYSTAL STEPHENS
Practice Location Address:

14611 231ST ST
SPRINGFIELD GARDENS, NY
11413-4427

Practice Phone: 347-843-9424
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.