CVS PHARMACY# 10052
NPI 1063752871
Pharmacy in Wilmette, IL

Active since February 15, 2013CLIA 14D2282890 · Waiver
1515 SHERIDAN RD, WILMETTE, IL 60091(847) 251-6223 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy# 10052 NPPES

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

CVS PHARMACY# 10052 (NPI 1063752871) is a healthcare organization registered as a pharmacy in Wilmette, Illinois and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Susan Colbert, Director. Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1063752871
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHIGHLAND PARK CVS LLC
Location Address1515 SHERIDAN RDWilmette, IL 60091-1822
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500
Organization SubpartNo
Authorized OfficialSusan ColbertDirector. Payer Relations · (401) 765-1500
Enumeration DateFebruary 15, 2013
Last NPPES UpdateSeptember 3, 2013
NPI 1063752871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
1515 SHERIDAN RD, Wilmette, IL 60091

Other Names 1

Doing Business AsCvs Pharmacy# 10052

Other Identifiers 4

Medicare PIN215907IL
Medicaid=========065IL
Medicare NSC4723660272IL
Other1487710Ncpdp

Accepted 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 14D2282890

Cvs/Pharmacy #10052 Highland Park CVS LLC · Wilmette, IL
Active · expires May 25, 2027
CLIA Number14D2282890
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorAlessandra Lagos
Laboratory Phone(847) 251-6223
Laboratory LocationCvs/Pharmacy #10052 Highland Park CVS LLC1515 Sheridan Rd, Wilmette, IL 60091
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
2,091 services227 patients
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.
451 services450 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.
406 services406 patients
Adm sarscv2 bvl 30mcg/.3ml a 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
162 services161 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.
40 services40 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.
38 services38 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20335295
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 18

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

Pharmacist
1515 SHERIDAN RD, DEL LAGO PHARMACY
WILMETTE, IL 60091
Optometrist
1515 SHERIDAN RD
WILMETTE, IL 60091
Pharmacy (Community/Retail Pharmacy)
1515 SHERIDAN RD
WILMETTE, IL 60091
Dentist (General Practice)
1515 SHERIDAN RD
WILMETTE, IL 60091
Dentist
1515 SHERIDAN RD
WILMETTE, IL 60091
Chiropractor
1515 SHERIDAN RD
WILMETTE, IL 60091
Chiropractor
1515 SHERIDAN RD, ARCADE UNIT 20-21
WILMETTE, IL 60091
Dentist
1515 SHERIDAN RD
WILMETTE, IL 60091

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063752871, enumerated as an "organization" on February 15, 2013.

The provider is located at 1515 SHERIDAN RD WILMETTE, IL 60091 and the phone number is (847) 251-6223.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.