OrganizationActive
West Jackson Cvs LLC
NPI 1417998386 · Community/Retail Pharmacy · Chicago, IL
West Jackson Cvs LLC is a Community/Retail Pharmacy organization in Chicago, IL (NPI 1417998386).
Provider details
- NPI number
- 1417998386
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Cristiana Mauricio, Manager Pharmacy Enrollments(401) 770-2937
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 W Jackson Blvd
Chicago, IL 60604-3589
Phone: (312) 461-0170
Street-level locationGet directions
Mailing address
1 Cvs Dr
Woonsocket, RI 02895-6146
Other names (DBA / former)
- Doing business as
- Cvs Pharmacy
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2025-09-11
Frequently asked questions
- What is West Jackson Cvs LLC's NPI number?
- West Jackson Cvs LLC's National Provider Identifier (NPI) is 1417998386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Jackson Cvs LLC?
- West Jackson Cvs LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is West Jackson Cvs LLC located?
- West Jackson Cvs LLC's practice location on file with NPPES is 111 W Jackson Blvd, Chicago, IL 60604-3589.
- What is West Jackson Cvs LLC's phone number?
- The practice phone number listed in the NPPES registry for West Jackson Cvs LLC is (312) 461-0170.
- Who is the authorized official for West Jackson Cvs LLC?
- The authorized official listed on West Jackson Cvs LLC's NPPES record is Cristiana Mauricio, Manager Pharmacy Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Jackson Cvs LLC's NPI active?
- Yes — West Jackson Cvs LLC's NPI (1417998386) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.