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CVS PHARMACY # 04189
NPI 1780931006
Pharmacy in Chicago, IL

Active since August 06, 2012
2828 N CLARK ST, CHICAGO, IL 60657(773) 525-1377 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 04189 NPPES

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

CVS PHARMACY # 04189 (NPI 1780931006) is a healthcare organization registered as a pharmacy in Chicago, Illinois and active in the NPI registry since August 2012. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1780931006
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHIGHLAND PARK CVS LLC
Location Address2828 N CLARK STChicago, IL 60657-5775
Mailing AddressOne Cvs DriveWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(773) 525-1377
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateAugust 6, 2012
Last NPPES UpdateJune 19, 2013
✔ NPI 1780931006 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
2828 N CLARK ST, Chicago, IL 60657
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Other Names 1

Doing Business AsCvs Pharmacy # 04189

Other Identifiers 4

Medicaid=========061IL
Medicare NSC4723660268IL
Medicare PIN215907IL
Other1487138IL · Ncpdp

Other Providers at the Same Location NPPES 4

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

DR. PATRICK RYAN MALARTSIK DC
Chiropractor
2828 N CLARK ST, 7TH FLOOR
CHICAGO, IL 60657
Cook County (773) 549-5040
DR. JASON WAYNE INGHAM DC, CCSP
Chiropractor
2828 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 868-0347
HANDS-ON SPORTS MEDICINE LIMITED PARTNERSHIP
Durable Medical Equipment & Medical Supplies
2828 N CLARK ST, SUITE 309
CHICAGO, IL 60657
Cook County (773) 525-0190
JASON W INGHAM DC SC
Chiropractor (Sports Physician)
2828 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 868-0347

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 1780931006. It was assigned to this organization in the NPPES registry on August 6, 2012. The provider is doing business as CVS Pharmacy # 04189.

Where is Highland Park CVS LLC located?

Highland Park CVS LLC is located at 2828 N Clark St, Chicago, IL 60657. The listed phone number is (773) 525-1377.

What is Highland Park 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 Highland Park CVS LLC was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.