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CVS PHARMACY #17175
NPI 1346390689
Pharmacy in Oak Lawn, IL

Active since January 11, 2007
4120 W 95TH ST, OAK LAWN, IL 60453(708) 741-4070(708) 741-4069 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2016, Aug 25, 2016, Aug 18, 2016 and 1 more (4 updates tracked since 2016).

About Cvs Pharmacy #17175 NPPES

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

CVS PHARMACY #17175 (NPI 1346390689) is a healthcare organization registered as a pharmacy in Oak Lawn, Illinois and active in the NPI registry since January 2007. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1346390689
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHIGHLAND PARK CVS LLC
Location Address4120 W 95TH STOak Lawn, IL 60453-2675
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(708) 741-4070
Fax(708) 741-4069
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 29, 20164 updates tracked since enumeration
✔ NPI 1346390689 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 · License 054.019766 (IL)
4120 W 95TH ST, Oak Lawn, IL 60453
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Other Names 1

Doing Business AsCvs Pharmacy #17175

Other Identifiers 2

Medicare NSC4723660307
Other2023286Pk

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 ›

Areas of Expertise CMS Part B claims 5

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.
141 services138 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.
66 services66 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.
61 services61 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.
17 services17 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.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17175 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17175

DMEPOS supplier · Oak Lawn, ILOperated by Highland Park CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #17175 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)20333867
Medicare Participant SinceJanuary 1, 2023
Supplier Location4120 W 95th StOak Lawn, IL 60453
Phone(708) 741-4070
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.

Other Providers at the Same Location NPPES 6

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

ANETA PITULA PHARMD
Pharmacist
4120 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 741-4070
JADE DENAE HUIZENGA PHARMD, B.S., B.A.
Pharmacist
4120 W 95TH ST, TARGET-2087
OAK LAWN, IL 60453
Cook County (708) 741-4070
DR. ZOHA SALEH PHARMD
Pharmacist
4120 W 95TH ST, T2087
OAK LAWN, IL 60453
Cook County (708) 741-4070
ZAINAB HAMEED KHAN PHARMD
Pharmacist
4120 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 741-4070
LUBNA JUDEH
Pharmacist
4120 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 741-4070
DR. ZAHIR ABDULRIDHA PHARMACIST
Pharmacist
4120 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 741-4070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Highland Park CVS LLC's NPI number?

The NPI number for Highland Park CVS LLC is 1346390689. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as CVS Pharmacy #17175.

Where is Highland Park CVS LLC located?

Highland Park CVS LLC is located at 4120 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 741-4070.

What is Highland Park CVS LLC's specialty?

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

Does Highland Park CVS LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #17175 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Highland Park CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Highland Park CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Highland Park CVS LLC was last updated on August 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.