Kankakee Il CVS LLC

Pharmacy · Kankakee, IL

Organization Active NPI

NPI number 1578504445

Practice location

420 S Washington Ave
Kankakee, IL 60901-3744
Phone
(815) 939-3130

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NPI record

NPI
1578504445
Entity type
Organization (Type 2)
Enumeration date
June 9, 2006
Last updated
September 11, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146

Authorized official

Name
Cristiana Mauricio
Title
Manager Pharmacy Enrollments
Phone
(401) 770-2937

Other names

  • CVS Pharmacy

About Kankakee Il CVS LLC

Kankakee Il CVS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 420 S Washington Ave, Kankakee, IL 60901-3744. The NPI number 1578504445 was assigned on June 9, 2006 and the record was last updated on September 11, 2025.

The authorized official for this organization is Cristiana Mauricio, Manager Pharmacy Enrollments.

Frequently asked questions

What is the NPI number of Kankakee Il CVS LLC?

The NPI number is 1578504445.

What is the phone number of Kankakee Il CVS LLC?

The phone number listed for the practice location is (815) 939-3130.

Where is Kankakee Il CVS LLC located?

420 S Washington Ave, Kankakee, IL 60901-3744.

What is the taxonomy code for Kankakee Il CVS LLC?

The primary taxonomy code is 333600000X – Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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