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

West Jackson Cvs LLC

Organization Pharmacy · NPI 1417998386

West Jackson Cvs LLC is a Pharmacy in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

111 W Jackson Blvd
Chicago, IL 60604-3589
Phone: (312) 461-0170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X

Record details

NPI number1417998386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristiana Mauricio — Manager Pharmacy Enrollments · (401) 770-2937
Other names Cvs Pharmacy
NPI enumeratedJune 9, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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