WOODWARD DETROIT CVS, L.L.C. (NPI# 1144429952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144429952 |
Entity Type | Organization |
Organization Name | WOODWARD DETROIT CVS, L.L.C. |
Other Organization Name | CVS PHARMACY # 03538 |
Practice Address |
5756 Clarkston Rd Clarkston MI 48348-4706 |
Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
Practice Telephone | 2486202761 |
Mailing Telephone | 4017651500 |
Mailing Fax Number | 4017707108 |
Enumeration Date | 2007-07-12 |
Last Update Date | 2012-02-29 |
Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
Authorized Official Telephone | 4017651500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2369874 | 05 | |
MI | STATE MEDICAID DME NUMBER | 1144429952 | 01 |
MI | COMMERCIAL NUMBER | 2369874 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy # 03538 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861796112 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3590 Plainfield Ave Ne, Grand Rapids, MI 49525-2719 | 2010-12-30 |
1790002921 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 5449 Jackson Rd, Ann Arbor, MI 48103 | 2010-04-28 |
1033374319 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 7488 Village Center Dr., Whitmore Lake, MI 48189 | 2008-07-25 |
1922273424 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 57090 Ten Mile Rd, South Lyon, MI 48178-9718 | 2008-04-25 |
1922271162 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 15521 West Seven Mile Road, Detroit, MI 48235 | 2008-04-09 |
1326216797 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 44300 Five Mile Rd., Northville Township, MI 48167 | 2008-02-19 |
1538352976 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 51000 Romeo Plank Rd, Macomb, MI 48042-4128 | 2007-08-20 |
1811195993 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 50980 North Ave, Macomb, MI 48042-4626 | 2007-07-10 |
1356481352 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 5408 Whittaker Road, Ypsilanti Township, MI 48197 | 2007-02-07 |
1194898916 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2011 S Rochester Road, Rochester Hills, MI 48307 | 2006-11-17 |
Street Address |
5756 CLARKSTON RD |
City | CLARKSTON |
State | MI |
Zip Code | 48348-4706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568094746 | Rame Merhi | Pharmacist | 5756 Clarkston Rd, Clarkston, MI 48348-4706 | 2020-02-06 |
1962033050 | Michelle Webster | Pharmacist | 5756 Clarkston Rd, Clarkston, MI 48348-4706 | 2020-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
Find all providers in zip 48348 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831230796 | Pharm R X Inc | Pharmacy | 926 Montreal Rd Ste B, Ste 2, Clarkston, GA 30021-1368 | 2007-02-12 |
1740205301 | Bormans Inc | Pharmacy | 7121 Dixie Hwy, Clarkston, MI 48346-2077 | 2006-07-13 |
1700994191 | Partwo Inc | Pharmacy | 7210 N Main St, Ste 102, Clarkston, MI 48346-1575 | 2006-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.