WOODWARD DETROIT CVS LLC (NPI# 1437171105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437171105 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS LLC |
| Other Organization Name | CVS PHARMACY #16629 |
| Practice Address |
3749 Carpenter Rd Ypsilanti MI 48197-9809 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7349754675 |
| Practice Fax Number | 7349754675 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| 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 |
5301010852 | MI | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2044711 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16629 | Doing Business As Name - Organization |
| 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 |
| 1417141482 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 5057 Harvey St, Norton Shores, MI 49444-9795 | 2007-08-31 |
| 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 |
| Street Address |
3749 CARPENTER RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-9809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650197 | Ebaa Saad | Pharmacist | 3749 Carpenter Rd, Ypsilanti, MI 48197-9809 | 2020-02-07 |
| 1720632516 | Kurtis Winston Redmond | Pharmacist | 3749 Carpenter Rd, Ypsilanti, MI 48197-9809 | 2019-07-30 |
| 1548613375 | Rosalyn Kuffner Schloemer | Pharmacist | 3749 Carpenter Rd, Ypsilanti, MI 48197-9809 | 2016-07-17 |
| 1568736684 | Chia Hsu | Pharmacist | 3749 Carpenter Rd, Ypsilanti, MI 48197-9809 | 2012-03-07 |
| 1447545629 | Robert John Rydzewski | Pharmacist | 3749 Carpenter Rd, Target Pharmacy T1285, Ypsilanti, MI 48197 | 2011-06-15 |
| 1912292574 | Jinhee Sung | Pharmacist | 3749 Carpenter Rd, T-1285, Ypsilanti, MI 48197-9809 | 2011-06-12 |
| 1609160589 | Kathleen Ann Sorter | Pharmacist | 3749 Carpenter Rd, Ypsilanti, MI 48197-9809 | 2011-06-08 |
| 1871829788 | David W. Chorney | Optometrist | 3749 Carpenter Rd, Ypsilanti, MI 48197-9809 | 2009-10-27 |
| 1114078516 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3749 Carpenter Rd, Ypsilanti, MI 48197-9809 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1750821849 | Icahn Management | Pharmacy | 200 Arnet St Ste 110, Ypsilanti, MI 48198-5753 | 2017-03-08 |
| 1164441192 | Eastern Michigan University | Pharmacy | Suite 201 Snow Health Center, Eastern Michigan University, Ypsilanti, MI 48197 | 2006-07-19 |
| 1073547832 | Kroger Co of Michigan | Pharmacy | 3200 Carpenter Rd, Ypsilanti, MI 48197-9630 | 2006-07-10 |
| 1932574977 | Arbor Lakes Pharmacy LLC | Pharmacy | 1549 Holmes Rd, Ypsilanti, MI 48198-4147 | 2015-12-02 |
| 1699928325 | Salaman & Worthing Enterprises | Pharmacy | 3075 W Clark Rd, Ste 105, Ypsilanti, MI 48197-1103 | 2008-10-28 |
| 1467623108 | Canalis Medical Pharmacy LLC | Pharmacy | 200 Arnet St, Ste 130, Ypsilanti, MI 48198-5753 | 2008-03-21 |
| 1669493664 | Forest Health Medical Center LLC | Pharmacy | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2006-07-22 |
| 1235157660 | Wal-mart Stores East Lp | Pharmacy | 2515 Ellsworth Rd, Ypsilanti, MI 48197-5619 | 2006-07-17 |
| 1174554158 | Kmart of Michigan Inc | Pharmacy | 3100 Washtenaw Rd, Ypsilanti, MI 48197-1555 | 2006-07-06 |
| 1215979505 | Rosens Pharmacy | Pharmacy | 200 Arnet St, Ypsilanti, MI 48198-5735 | 2006-06-12 |
| Find all providers in YPSILANTI | ||||
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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.