Highland Park CVS LLC
NPI 1821073156ActiveOrganization· Pharmacy· Metamora, IL
Pharmacy in Metamora, Illinois, registered in NPPES in December 2005. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $108,276 for services to 430 patients in 2024.
Overview
| NPI | 1821073156 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2005 |
| Last updated in NPPES | May 25, 2023 |
| Certified by provider | May 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 054018987 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 430 |
|---|---|
| Services billed | 1,408 across 10 procedure codes |
| Paid by Medicare | $108,276 |
Other Pharmacy providers in Metamora
- 1740264340
- 1013147610