1. Home
  2. Directory
  3. Illinois
  4. Freeport
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY 08540
NPI 1457392326
Pharmacy in Freeport, IL

Active since June 09, 2006CLIA 14D2283732 · Waiver
1535 W GALENA AVE, FREEPORT, IL 61032(815) 232-0053 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cvs Pharmacy 08540 NPPES

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

CVS PHARMACY 08540 (NPI 1457392326) is a healthcare organization registered as a pharmacy in Freeport, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1457392326
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHIGHLAND PARK CVS LLC
Location Address1535 W GALENA AVEFreeport, IL 61032-3103
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(815) 232-0053
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJune 9, 2006
Last NPPES UpdateOctober 17, 2014
✔ NPI 1457392326 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
1535 W GALENA AVE, Freeport, IL 61032
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy 08540

Other Identifiers 4

Other1479220Other Id Number-commercial Number
Medicare NSC4723660057
Medicare PINP00959569IL
Medicare PIN215982

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy 08540 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20100930022657DME · PharmacyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 14D2283732

Cvs/Pharmacy #08540 Highland Park CVS, LLC · Freeport, IL
Active · expires Jun 12, 2027
CLIA Number14D2283732
Laboratory TypePharmacy
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorCassidy Joy-Saini
Laboratory Phone(815) 232-0053
Laboratory LocationCvs/Pharmacy #08540 Highland Park CVS, LLC1535 W Galena, Freeport, IL 61032
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 3

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.
198 services197 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.
151 services151 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.
34 services34 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #08540 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08540

DMEPOS supplier · Freeport, ILOperated by Highland Park CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #08540 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)20336015
Medicare Participant SinceJanuary 1, 2023
Supplier Location1535 W Galena AveFreeport, IL 61032
Phone(815) 232-0053
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 2

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

RENATE KENCA-AULNER
Pharmacist
1535 W GALENA AVE
FREEPORT, IL 61032
Stephenson County (815) 232-0053
DR. CHRISTOPHER PETER MURDAKES PHARMD.
Pharmacist
1535 W GALENA AVE
FREEPORT, IL 61032
Stephenson County (815) 233-0053

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 1457392326. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as CVS Pharmacy 08540.

Where is Highland Park CVS LLC located?

Highland Park CVS LLC is located at 1535 W Galena Ave, Freeport, IL 61032. The listed phone number is (815) 232-0053.

What is Highland Park CVS LLC's specialty?

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

Is Highland Park CVS LLC enrolled in Medicare?

Yes. Highland Park CVS LLC is registered in the Medicare PECOS enrollment system.

When is Highland Park CVS LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Pharmacy) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #08540 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Highland Park CVS LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2283732) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Highland Park CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 29 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 October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.