CVS PHARMACY 02845
NPI 1013011956
Pharmacy in Chicago, IL

Q: What is Highland Park CVS, L.L.C.'s NPI number?

The NPI number for Highland Park CVS, L.L.C. is 1013011956. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy 02845.

Q: What is Highland Park CVS, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since September 12, 2006CLIA 14D2283706 · Waiver

1930 W 103RD ST, CHICAGO, IL 60643(773) 239-8041 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy 02845 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY 02845 (NPI 1013011956) is a healthcare organization registered as a pharmacy in Chicago, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Susan F Colbert, Exec Dir, Rx Services, as its authorized official.

NPPES Registry Identity

NPI1013011956

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameHIGHLAND PARK CVS, L.L.C.

Location Address1930 W 103RD STChicago, IL 60643-2625

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146

Phone(773) 239-8041

Organization SubpartNo

Authorized OfficialSusan F ColbertExec Dir, Rx Services · (401) 770-2751

Enumeration DateSeptember 12, 2006

Last NPPES UpdateJanuary 11, 2023

NPPES CertifiedJanuary 11, 2023

✔ NPI 1013011956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 054-014661

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

1930 W 103RD ST, Chicago, IL 60643

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Other Names 1

Doing Business AsCvs Pharmacy 02845

Other Identifiers 1

Other1474840Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2283706

Cvs/Pharmacy #02845 Highland Park CVS, LLC · Chicago, IL

Active · expires Jun 11, 2027

CLIA Number14D2283706

Laboratory TypePhysician Office

Certificate Effective DateJune 12, 2025

Certificate Expiration DateJune 11, 2027

Laboratory DirectorJudeh Shorok

Laboratory Phone(773) 239-8041

Laboratory LocationCvs/Pharmacy #02845 Highland Park CVS, LLC1930 W 103rd St, Chicago, IL 60643

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

341 services337 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

198 services198 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

107 services107 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

29 services29 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

27 services27 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Highland Park CVS LLC carries, from the Medicare DMEPOS supplier directory.

Highland Park CVS LLC

DMEPOS supplier · Chicago, IL

✔

Accepts Medicare assignment

Highland Park CVS LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20335691

Medicare Participant SinceJanuary 1, 2023

Supplier Location1930 W 103rd StreetChicago, IL 60643

Phone(773) 239-7770

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW WERNER

Pharmacist