CVS PHARMACY #08683
NPI 1285675157
Pharmacy in Champaign, IL

Active since June 09, 2006
107 W GREEN ST, CHAMPAIGN, IL 61820(217) 355-8123 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #08683 NPPES

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

CVS PHARMACY #08683 (NPI 1285675157) is a healthcare organization registered as a pharmacy in Champaign, Illinois and active in the NPI registry since June 2006. The organization lists Cristiana Mauricio, Manager Pharmacy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1285675157
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHIGHLAND PARK CVS LLC
Location Address107 W GREEN STChampaign, IL 61820-5213
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Organization SubpartNo
Authorized OfficialCristiana MauricioManager Pharmacy Enrollments · (401) 770-2937
Enumeration DateJune 9, 2006
Last NPPES UpdateOctober 17, 2014
NPI 1285675157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
107 W GREEN ST, Champaign, IL 61820

Other Names 1

Doing Business AsCvs Pharmacy #08683

Other Identifiers 4

Medicare PINP00754411
Medicare NSC4723660028
Medicare PIN215982
Other1478999Other Id Number-commercial Number

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 14D2259187

Cvs/Pharmacy #08683 Highland Park CVS, LLC · Champaign, IL
Expired · May 2, 2026
CLIA Number14D2259187
Laboratory TypePharmacy
Certificate Effective DateMay 3, 2024
Certificate Expiration DateMay 2, 2026
Laboratory DirectorReed Hansen
Laboratory Phone(866) 387-2727
Laboratory LocationCvs/Pharmacy #08683 Highland Park CVS, LLC107 W Green St, Champaign, IL 61820
CLIA data matches this NPI record on: Address Name
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 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.
357 services50 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.
79 services79 patients
Fee covid-19 vac 14 res 0134A
The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.
78 services78 patients
Adm sarscov2 50mcg/0.25mlbst 0064A
This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.
73 services73 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.
52 services52 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.
20 services20 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20335475
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 5

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

Pharmacist
107 W GREEN ST
CHAMPAIGN, IL 61820
Pharmacist
107 W GREEN ST
CHAMPAIGN, IL 61820
Pharmacist
107 W GREEN ST
CHAMPAIGN, IL 61820
Pharmacist
107 W GREEN ST
CHAMPAIGN, IL 61820
Pharmacist
107 W GREEN ST
CHAMPAIGN, IL 61820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285675157, enumerated as an "organization" on June 09, 2006.

The provider is located at 107 W GREEN ST CHAMPAIGN, IL 61820 and the phone number is (217) 355-8123.

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.