Highland Park CVS LLC
NPI 1114263738ActiveOrganization· Pharmacy· East Peoria, IL
Pharmacy in East Peoria, Illinois, registered in NPPES in December 2012. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $24,661 for services to 107 patients in 2024.
Overview
| NPI | 1114263738 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2012 |
| Last updated in NPPES | Sep 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 054.019732 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 107 |
|---|---|
| Services billed | 306 across 8 procedure codes |
| Paid by Medicare | $24,661 |
Other pharmacies in East Peoria
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