WOODWARD DETROIT CVS,L.L.C. (NPI# 1255433546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255433546 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS,L.L.C. |
| Other Organization Name | CVS PHARMACY #08152 |
| Practice Address |
22060 Outer Dr Dearborn MI 48124-3932 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3132747651 |
| Practice Fax Number | 3132747807 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2011-10-05 |
| 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 | 5301-006425 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2355748 | 01 | |
| MI | 3011124 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08152 | Doing Business As Name - Organization |
| Street Address |
22060 OUTER DR |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649801929 | Runa Nuseibeh | Pharmacist | 22060 Outer Dr, Dearborn, MI 48124-3932 | 2020-01-27 |
| 1114557436 | Rina Harp | Pharmacist | 22060 Outer Dr, Dearborn, MI 48124-3932 | 2020-01-26 |
| 1326678657 | Suzan Mouhajer | Pharmacist | 22060 Outer Dr, Dearborn, MI 48124-3932 | 2020-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1134693559 | Richter's Drugs,llc | Pharmacy | 23920 Michigan Ave, Dearborn, MI 48124-1833 | 2019-01-18 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1194214353 | Abe's Drug Store 3 LLC | Pharmacy | 21759 Tenny St, Dearborn, MI 48124-2929 | 2018-05-03 |
| 1326588294 | Lakewood Family Pharmacy LLC | Pharmacy | 17000 Executive Plaza Dr Ste 104, Dearborn, MI 48126-2793 | 2017-02-27 |
| 1689112815 | Glory Pharmacy of Telegraph LLC | Pharmacy | 24710 Michigan Ave, Dearborn, MI 48124-1750 | 2017-02-08 |
| 1760924872 | Instacare Pharmacy LLC | Pharmacy | 14300 Michigan Ave, Dearborn, MI 48126-3417 | 2016-11-07 |
| 1982054383 | Dearborn Rx Pharmacy LLC | Pharmacy | 10633 W Warren Ave Ste A, Dearborn, MI 48126-8010 | 2016-06-16 |
| 1194171850 | Packard Discount Pharmacy LLC | Pharmacy | 4726 Greenfield Rd Ste 101, Dearborn, MI 48126-4124 | 2016-05-11 |
| 1629422498 | United Specialty Pharmacy LLC | Pharmacy | 25205 Trowbridge St, Dearborn, MI 48124-2414 | 2016-04-19 |
| 1134594898 | Blossom Care Pharmacy LLC | Pharmacy | 5250 Auto Club Dr Ste 160, Dearborn, MI 48126-2619 | 2015-12-07 |
| Find all providers in DEARBORN | ||||
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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.