Organization
HIGHLAND PARK CVS, L.L.C.
Active
Other names
SCHNUCKS PHARMACY, CVS Pharmacy #18078
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
109 N MATTIS AVE, CHAMPAIGN, IL 61821-3059
(217) 351-8497
(217) 351-8056
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
054001003
IL
333600000X
Pharmacy
054001003
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1459634
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
430726776707
—
IL
Enumeration date
06/25/2006
Last updated
07/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us