WOODWARD DETROIT CVS, L.L.C.


Address: 28774 Gratiot Ave, Roseville, MI 48066-4257
Phone: 5867776350

WOODWARD DETROIT CVS, L.L.C. (NPI# 1508978446) 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) 1508978446
Entity Type Organization
Organization Name WOODWARD DETROIT CVS, L.L.C.
Other Organization Name CVS PHARMACY #08062
Practice Address 28774 Gratiot Ave
Roseville
MI 48066-4257
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 5867776350
Practice Fax Number 5864474363
Enumeration Date 2006-08-31
Last Update Date 2011-02-22
Authorized Official Name SUSAN COLBERT (DIRECTOR)
Authorized Official Telephone 4017651500
Is Organization Subpart N

Taxonomy

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 5301-005076 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1757919 05
OTHER ID NUMBER-COMMERCIAL NUMBER 2340583 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #08062 Doing Business As Name - Organization

Other Provider IDs and Locations

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
1144429952 Woodward Detroit Cvs, L.L.C. Pharmacy 5756 Clarkston Rd, Clarkston, MI 48348-4706 2007-07-12
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

Office Location

Street Address 28774 GRATIOT AVE
City ROSEVILLE
State MI
Zip Code 48066-4257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316578149 Thomas Beshara Pharmacist 28774 Gratiot Ave, Roseville, MI 48066-4257 2020-01-30
1417588443 Francine Mercene Pharmacist 28774 Gratiot Ave, Roseville, MI 48066-4257 2020-01-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
Find all providers in zip 48066

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
1588217236 Kaiser Foundation Health Plan Inc Pharmacy 1021 Riverside Ave, Roseville, CA 95678 2019-07-22
1568735991 Kaiser Foundation Health Plan Inc Pharmacy 1600 Eureka Rd Bldg 1, Roseville, CA 95661-3027 2012-02-15
1164659355 Kaiser Foundation Health Plan Inc Pharmacy 1600 Eureka Rd Bldg 2, Roseville, CA 95661-3027 2009-06-16
1225103807 Priceless Drug Store Pharmacy 446 Roseville Sq, Roseville, CA 95678-2808 2006-11-21
1992815591 Costco Wholesale Corporation Pharmacy 6750 Stanford Ranch Rd, Roseville, CA 95678 2006-08-30
1720003387 Bormans Inc Pharmacy 30851 Gratiot Ave, Roseville, MI 48066-1769 2006-07-13
1750312740 Kmart of Michigan Inc Pharmacy 17580 Frazho Rd, Roseville, MI 48066-3829 2006-07-06
1417990284 Longs Drug Stores California Inc Pharmacy 900 Sunrise Ave, Roseville, CA 95661-4507 2006-06-13
1215974647 Lucky Stores II LLC Pharmacy 5060 Foothills Blvd, Roseville, CA 95747-6500 2006-06-02
1295341162 Central Rx LLC Pharmacy 20733 E 13 Mile Rd, Roseville, MI 48066-4503 2020-09-16
Find all providers in ROSEVILLE

Competitor

Search similar providers

City ROSEVILLE
Zip Code 48066

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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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