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 1770035636

Highland Park Cvs, LLC is a Diabetes Educator Registered Nurse in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
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

10405 N Centerway Dr
Peoria, IL 61615-1233
Phone: (309) 621-7342
Fax: (309) 621-7343
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Diabetes Educator Registered Nurse Taxonomy 163WD0400X
Medical Specialty Clinic/Center Taxonomy 261QM2500X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X · Licence 054020076 (IL)

Record details

NPI number1770035636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #18092; Schnucks Pharmacy; Schnucks Pharmacy
NPI enumeratedOctober 26, 2016
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address1 Cvs Drive, Box 1075, Woonsocket, RI 02895-6146

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