WOODWARD DETROIT CVS LLC (NPI# 1619027950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619027950 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS LLC |
| Other Organization Name | CVS PHARMACY #17329 |
| Practice Address |
2310 Metropolitan Pkwy Sterling Heights MI 48310-4209 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5866981028 |
| Practice Fax Number | 5866981031 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-08-29 |
| 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 |
5301010867 | MI | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2042558 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17329 | 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 |
| 1336221704 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 35401 Warren Rd, Westland, MI 48185-6590 | 2006-10-19 |
| Street Address |
2310 METROPOLITAN PKWY |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598130353 | Anna Powers | Pharmacist | 2310 Metropolitan Pkwy, Sterling Heights, MI 48310-4209 | 2015-12-04 |
| 1255616850 | Haipei Jiang | Pharmacist | 2310 Metropolitan Pkwy, Sterling Heights, MI 48310-4209 | 2011-10-14 |
| 1902192149 | Paul Faux | Pharmacist | 2310 Metropolitan Pkwy, Sterling Heights, MI 48310-4209 | 2011-06-27 |
| 1245525526 | Jodi Lynn Adragna | Pharmacist | 2310 Metropolitan Pkwy, T-2254, Sterling Heights, MI 48310-4209 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| 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 |
|---|---|---|---|---|
| 1881112555 | Purrxpharmacy | Pharmacy | 38300 Van Dyke Ave Ste 102, Sterling Heights, MI 48312-1176 | 2017-09-01 |
| 1720522394 | Afkn LLC | Pharmacy | 38924 Dequindre Rd, Sterling Heights, MI 48310-2890 | 2016-12-15 |
| 1255886230 | Health Choice Pharmacy 3 LLC | Pharmacy | 6031 19 Mile Rd Ste A, Sterling Heights, MI 48314-2181 | 2016-08-19 |
| 1700182334 | Shri Umiya LLC | Pharmacy | 13721 19 Mile Rd, Sterling Heights, MI 48313-2703 | 2011-01-29 |
| 1144338518 | Raquel Inc | Pharmacy | 4163 15 Mile Rd, Sterling Heights, MI 48310-5400 | 2006-08-27 |
| 1629183652 | Dura Corp | Pharmacy | 3979 17 Mile Rd, Sterling Heights, MI 48310-6835 | 2006-08-20 |
| 1366467920 | Bormans Inc | Pharmacy | 44777 Mound Rd, Sterling Heights, MI 48314-1325 | 2006-07-13 |
| 1619992278 | Bormans Inc | Pharmacy | 43893 Schoenherr Rd, Sterling Heights, MI 48313-1119 | 2006-07-13 |
| 1174138283 | Getwell LLC | Pharmacy | 3900 18 Mile Rd, Sterling Heights, MI 48314-3826 | 2020-09-15 |
| 1619590411 | Karim Medical Pharmacy | Pharmacy | 33280 Richard O Dr, Sterling Heights, MI 48310-6116 | 2020-05-27 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
Please comment or provide details below to improve the information on WOODWARD DETROIT CVS LLC.
| 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.