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

Highland Park Cvs LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1114263738

Highland Park Cvs LLC is a Durable Medical Equipment & Medical Supplies in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

480 W Washington St
East Peoria, IL 61611-2445
Phone: (309) 407-3046
Fax: (309) 407-3056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 054.019732 (IL)

Record details

NPI number1114263738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #17656
NPI enumeratedDecember 31, 2012
Last updated in NPPESSeptember 23, 2016
Mailing address1 Cvs Dr, Box 1075, Woonsocket, RI 02895-6146

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