Highland Park CVS, L.L.C.
NPI 1104999002ActiveOrganization· Pharmacy· Hickory Hills, IL
Pharmacy in Hickory Hills, Illinois, registered in NPPES in November 2006. The authorized official on file is Cristiana Mauricio, Manager Pharmacy Enrollments. Medicare paid $40,653 for services to 166 patients in 2024.
Overview
| NPI | 1104999002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Oct 8, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 54016069 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 166 |
|---|---|
| Services billed | 518 across 10 procedure codes |
| Paid by Medicare | $40,653 |
Other Pharmacy providers in Hickory Hills
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