WOODWARD DETROIT CVS LLC


Address: 5057 Harvey St, Norton Shores, MI 49444-9795
Phone: 2317987507

WOODWARD DETROIT CVS LLC (NPI# 1417141482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417141482
Entity Type Organization
Organization Name WOODWARD DETROIT CVS LLC
Other Organization Name CVS PHARMACY #17393
Practice Address 5057 Harvey St
Norton Shores
MI 49444-9795
Mailing Address 1 Cvs Dr
Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 2317987507
Practice Fax Number 2317987507
Mailing Telephone 4017651500
Enumeration Date 2007-08-31
Last Update Date 2016-09-28
Authorized Official Name SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301010868 MI Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2042761 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #17393 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093181943 Woodward Detroit Cvs LLC Durable Medical Equipment & Medical Supplies 2506 Niles Ave, Saint Joseph, MI 49085-1924 2015-08-14
1902292881 Woodward Detroit Cvs LLC Durable Medical Equipment & Medical Supplies 1015 S Saginaw Rd, Midland, MI 48640-5642 2015-04-08
1386992204 Woodward Detroit Cvs LLC Pharmacy 626 West Front St, Traverse City, MI 49684-2210 2012-08-27
1073748000 Woodward Detroit Cvs LLC Pharmacy 28800 Dequindre Rd, Warren, MI 48092-2466 2009-05-20
1619125069 Woodward Detroit Cvs LLC Pharmacy 20877 Hall Rd, Macomb, MI 48044-4256 2008-08-28
1528216975 Woodward Detroit Cvs LLC Pharmacy 2400 S Telegraph Rd, Bloomfield Hills, MI 48302-0255 2008-08-28
1508042524 Woodward Detroit Cvs LLC Pharmacy 47330 Michigan Ave, Canton, MI 48188-2582 2008-01-22
1760532089 Woodward Detroit Cvs LLC Durable Medical Equipment & Medical Supplies 5350 W Main St, Kalamazoo, MI 49009-3304 2007-01-11
1619027950 Woodward Detroit Cvs LLC Durable Medical Equipment & Medical Supplies 2310 Metropolitan Pkwy, Sterling Heights, MI 48310-4209 2007-01-11
1336221704 Woodward Detroit Cvs LLC Durable Medical Equipment & Medical Supplies 35401 Warren Rd, Westland, MI 48185-6590 2006-10-19

Office Location

Street Address 5057 HARVEY ST
City NORTON SHORES
State MI
Zip Code 49444-9795

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285266320 Jacob Andrew Schuitema Pharmacist 5057 Harvey St, Norton Shores, MI 49444-9795 2020-02-06
1144514928 Joseph David Straley Pharmacist 5057 Harvey St, Target Pharmacy Store Number T-2327, Norton Shores, MI 49444-9795 2011-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073084349 Cathy Forrest, Ma, LLP Plc Psychologist 255 Seminole Road, Suite-205, Muskegon, MI 49444 2018-12-16
1831687276 Sarah J Weiden Massage Therapist 1040 E Sternberg Rd, Muskegon, MI 49444 2018-04-30
1184131500 Hatem M Gelani Sr. Dentist 1725 E Sherman Blvd, Muskegon, MI 49444 2018-01-08
1497123673 Rite Aid Pharmacist 2213 E Hile Road, Muskegon, MI 49444 2015-09-04
1689077075 Rosa Carpenter-parker Counselor 445 East Sherman, Muskegon, MI 49444 2014-09-30
1417373036 Smile Center Pllc Dentist 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 2014-03-06
1134460439 Adam L Powell Physical Medicine & Rehabilitation 1675 E Mount Garfield Rd, Muskegon, MI 49444 2013-03-12
1972847135 Kristen Haugh Physical Therapist 5251 Harvey St Ste 100, Norton Shores, MI 49444 2012-11-12
1912261694 Brandon D Freel Obstetrics & Gynecology 6401 Prairie St Ste 2100, Norton Shores, MI 49444 2012-06-27
1437434487 Amy Stegall Pharmacist 1171 E Sherman, Norton Shores, MI 49444 2011-10-20
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215078175 Hackley Professional Pharmacy,inc Pharmacy 1631 W Sherman Blvd, Norton Shores, MI 49441-3544 2007-02-12
1962417576 Hackley Professional Pharmacy, Inc Pharmacy 6401 Prairie St Ste 1100, Norton Shores, MI 49444-7839 2006-07-30

Providers in the same taxonomy and state

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
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Competitor

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City NORTON SHORES
Zip Code 49444

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Dataset Information

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.

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