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WEST JACKSON CVS LLC
NPI 1417998386
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since June 09, 2006
111 W JACKSON BLVD, CHICAGO, IL 60604(312) 461-0170 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About West Jackson Cvs Llc NPPES

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

WEST JACKSON CVS LLC (NPI 1417998386), doing business as Cvs Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Chicago, 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

NPI1417998386
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWEST JACKSON CVS LLC
Location Address111 W JACKSON BLVDChicago, IL 60604-3589
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(312) 461-0170
Organization SubpartNo
Authorized OfficialCristiana MauricioManager Pharmacy Enrollments · (401) 770-2937
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1417998386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
111 W JACKSON BLVD, Chicago, IL 60604
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Other Names 1

Doing Business AsCvs Pharmacy

Other Identifiers 1

Other1479395Other Id Number-commercial Number

Other Providers at the Same Location NPPES 12

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

DEBORAH A AARON FNP
Nurse Practitioner (Family)
111 W JACKSON BLVD
CHICAGO, IL 60604
Cook County (877) 279-5960
COMMUNITY HEALTH INTERGRATED COPORATION
Community/Behavioral Health
111 W JACKSON BLVD, 1700
CHICAGO, IL 60604
Cook County (702) 793-5775
COTTAGE HOME CARE IL LLC
Home Health
111 W JACKSON BLVD
CHICAGO, IL 60604
Cook County (516) 367-2266
DR. JOSH THOMAS ROWELL D.C.
Chiropractor
111 W JACKSON BLVD, SUITE 1160
CHICAGO, IL 60604
Cook County (312) 583-0061
SEEMA PATEL LCSW
Social Worker (Clinical)
111 W JACKSON BLVD
CHICAGO, IL 60604
Cook County (773) 742-5988
SHERRY OLIPHANT MT
Massage Therapist
111 W JACKSON BLVD
CHICAGO, IL 60604
Cook County (773) 617-2294
ROWELL HEALTH SERVICES INCORPORATED
Chiropractor
111 W JACKSON BLVD, SUITE 1160
CHICAGO, IL 60604
Cook County (312) 583-0061
MR. SALADIN FARD YACUB
Massage Therapist
111 W JACKSON BLVD
CHICAGO, IL 60604
Cook County (312) 583-0061

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 West Jackson CVS LLC's NPI number?

The NPI number for West Jackson CVS LLC is 1417998386. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as CVS Pharmacy.

Where is West Jackson CVS LLC located?

West Jackson CVS LLC is located at 111 W Jackson Blvd, Chicago, IL 60604. The listed phone number is (312) 461-0170.

What is West Jackson CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for West Jackson CVS LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.