Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Highland Park Cvs, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1104929876

Highland Park Cvs, LLC is a Durable Medical Equipment & Medical Supplies in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 N Main St
Peoria, IL 61611-2549
Phone: (309) 694-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 054-011784 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1104929876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director · (401) 765-1500
Other names Cvs Pharmacy 06453
NPI enumeratedSeptember 7, 2006
Last updated in NPPESMarch 13, 2012
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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