OrganizationActive
Kankakee Il Cvs LLC
NPI 1578504445 · Pharmacy · Kankakee, IL
Kankakee Il Cvs LLC is a Pharmacy organization in Kankakee, IL (NPI 1578504445).
Provider details
- NPI number
- 1578504445
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Cristiana Mauricio, Manager Pharmacy Enrollments(401) 770-2937
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
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
420 S Washington Ave
Kankakee, IL 60901-3744
Phone: (815) 939-3130
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 Kankakee Il Cvs LLC's NPI number?
- Kankakee Il Cvs LLC's National Provider Identifier (NPI) is 1578504445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kankakee Il Cvs LLC?
- Kankakee Il Cvs LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Kankakee Il Cvs LLC located?
- Kankakee Il Cvs LLC's practice location on file with NPPES is 420 S Washington Ave, Kankakee, IL 60901-3744.
- What is Kankakee Il Cvs LLC's phone number?
- The practice phone number listed in the NPPES registry for Kankakee Il Cvs LLC is (815) 939-3130.
- Who is the authorized official for Kankakee Il Cvs LLC?
- The authorized official listed on Kankakee Il 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 Kankakee Il Cvs LLC's NPI active?
- Yes — Kankakee Il Cvs LLC's NPI (1578504445) 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.