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

Highland Park Cvs, LLC

Organization Diabetes Educator Registered Nurse · NPI 1245309194

Highland Park Cvs, LLC is a Diabetes Educator Registered Nurse in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
5
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

907 E US Highway 50
O Fallon, IL 62269-2856
Phone: (618) 632-5525
Fax: (618) 632-0729
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 54013333 (IL)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X
Medical Specialty Clinic/Center Taxonomy 261QM2500X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1245309194
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSchnuck Markets Inc
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #18038
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020
Mailing address1 Cvs Drive, Box 1075, Woonsocket, RI 02895-6146