Highland Park CVS LLC
NPI 1174786354ActiveOrganization· Pharmacy· Chicago, IL
Pharmacy in Chicago, Illinois, registered in NPPES in July 2008. The authorized official on file is Cristiana Mauricio, Mgr Phcy Enrollments. Medicare paid $68,464 for services to 251 patients in 2024.
Overview
| NPI | 1174786354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2008 |
| Last updated in NPPES | Oct 8, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
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 | 251 |
|---|---|
| Services billed | 844 across 10 procedure codes |
| Paid by Medicare | $68,464 |
Other Pharmacy providers in Chicago
- 1245711027
- 1639165475
- 1730388703
- 1124261151
- 1912063959
- 1013032986
- 1700069499
- 1447783915
- 1700616034
- 1427063643
- 1164524674
- 1447759584