KANKAKEE IL CVS LLC
NPI 1578504445
Pharmacy in Kankakee, IL

Active since June 09, 2006
420 S WASHINGTON AVE, KANKAKEE, IL 60901(815) 939-3130 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 Kankakee Il Cvs Llc NPPES

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

KANKAKEE IL CVS LLC (NPI 1578504445), doing business as Cvs Pharmacy, is a healthcare organization registered as a pharmacy in Kankakee, 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

NPI1578504445
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKANKAKEE IL CVS LLC
Location Address420 S WASHINGTON AVEKankakee, IL 60901-3744
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 UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1578504445 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
420 S WASHINGTON AVE, Kankakee, IL 60901

Other Names 1

Doing Business AsCvs Pharmacy

Other Identifiers 1

Other1478975Other Id Number-commercial Number

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 Kankakee Il CVS LLC's NPI number?

The NPI number for Kankakee Il CVS LLC is 1578504445. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as CVS Pharmacy.

Where is Kankakee Il CVS LLC located?

Kankakee Il CVS LLC is located at 420 S Washington Ave, Kankakee, IL 60901. The listed phone number is (815) 939-3130.

What is Kankakee Il CVS LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kankakee Il 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.