Kankakee Il Cvs LLC
Kankakee Il Cvs LLC is a healthcare organization registered as Pharmacy in Kankakee, IL, holding Type 2 (organization) NPI 1578504445 since 2006. The authorized official on file is Cristiana Mauricio, Manager Pharmacy Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578504445 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kankakee Il Cvs LLC |
| Other name | <Unavail> |
| Practice address | 420 S WASHINGTON AVE, Kankakee, IL, 60901 |
| Phone | 8159393130 |
| Enumeration date | 2006-06-09 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Cristiana Mauricio |
|---|---|
| Title | Manager Pharmacy Enrollments |
| Phone | 4017702937 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1478975 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Kankakee Il Cvs LLC NPI: 1578504445 Taxonomy: 333600000X (Pharmacy) Address: 420 S WASHINGTON AVE, Kankakee, IL, 60901
Verify this record
Cross-check NPI 1578504445 against the authoritative CMS record: view Kankakee Il Cvs LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Kankakee Il Cvs LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.