Organization
HIGHLAND PARK CVS, L.L.C.
Active
Parent organization
SCHNUCK MARKETS INC
Other names
CVS Pharmacy #18066
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHNUCK MARKETS INC
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2712 GODFREY RD, GODFREY, IL 62035-3311
(618) 466-0825
(618) 467-0544
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
05412051
IL
333600000X
Pharmacy
05412051
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1465853
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
430726776269
—
IL
Enumeration date
06/25/2006
Last updated
07/15/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up