WOODWARD DETROIT CVS, L.L.C. (NPI# 1619085081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619085081 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #11243 |
| Practice Address |
444 Main St Belleville MI 48111-2648 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7346992075 |
| Practice Fax Number | 7346692073 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-02-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006257 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 2354570 | 01 | |
| MI | 2354570 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11243 | Doing Business As Name - Organization |
| 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 |
| Street Address |
444 MAIN ST |
| City | BELLEVILLE |
| State | MI |
| Zip Code | 48111-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641461 | Mi Sook Lee | Pharmacist | 444 Main St, Belleville, MI 48111-2648 | 2020-02-13 |
| 1316579568 | Nasser Almadari | Pharmacist | 444 Main St, Belleville, MI 48111-2648 | 2020-02-05 |
| 1881061687 | Gregory Paige | Pharmacist | 444 Main St, Belleville, MI 48111-2648 | 2015-08-27 |
| 1881870020 | Scott Alan Borsenik | Pharmacist | 444 Main St, Belleville, MI 48111-2648 | 2008-01-17 |
| 1447436076 | Sav-on Home Healthcare Supply, Inc. | Durable Medical Equipment & Medical Supplies | 444 Main St, Belleville, MI 48111-2648 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406208 | Kimberly N Debusschere | Music Therapist | 4334 Dottie Ct., Belleville, MI 48111 | 2020-01-10 |
| 1083267041 | Kendalynn Ann Avant | Home Health | 49061 Denton Rd, Apt. 103, Belleville, MI 48111 | 2019-07-18 |
| 1073010864 | Shelly Lynn Milton | Massage Therapist | 9530 Rolan Meadows Drive, Belleville, MI 48111 | 2018-04-09 |
| 1053826040 | Helping Journey Counseling Service | Social Worker | 397 Main St Ste C, Belleville, MI 48111 | 2017-12-12 |
| 1447773254 | Advanced Counseling and Outreach | Counselor | 9513 Rolan Meadows Lane, Belleville, MI 48111 | 2017-07-24 |
| 1104348564 | Stella Adaku Amakeme | Nurse's Aide | 49007 Laguna Dr, Belleville, MI 48111 | 2017-07-07 |
| 1497285076 | Elizabeth Griffin | Recreation Therapist | 41460 W Archwood Dr, Apt A332, Belleville, MI 48111 | 2017-06-15 |
| 1831548122 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 41255 Coca Cola Dr., Belleville, MI 48111 | 2016-06-07 |
| 1639527187 | Wadler Fleurina | Physician Assistant | 11650 Belleville Rd #101, Belleville, MI 48111 | 2016-05-25 |
| 1922478080 | Mayia Raneese Chenault | Technician, Other | 48501 S I 94 Servce Dr Apt 107, Van Buren Twp, MI 48111 | 2015-10-01 |
| Find all providers in zip 48111 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336704824 | Saicare Pharmacy Inc | Pharmacy | 246 Washington Ave Ste 102, Belleville, NJ 07109-3155 | 2019-05-09 |
| 1508327016 | Medbox Inc | Pharmacy | 14 Franklin St Ste 102, Belleville, NJ 07109-1134 | 2019-03-27 |
| 1881177897 | Belleville Hometown Pharmacy LLC | Pharmacy | 1 West Main St, Belleville, WI 53508 | 2018-09-14 |
| 1427590603 | Pharmacare Drugs 1 Inc | Pharmacy | 6048 Rawsonville Rd, Belleville, MI 48111-2339 | 2016-11-05 |
| 1720539752 | Express Medical Pharmacy LLC | Pharmacy | 1 Royal Heights Ctr, Belleville, IL 62226-5705 | 2016-10-14 |
| 1730489022 | Orchard Pharmacy Center Inc | Pharmacy | 19731 Sumpter Rd., 19731 Sumpter Rd, Belleville, MI 48111-8919 | 2010-11-02 |
| 1548441124 | Belleville Neighborhood Pharmacy | Pharmacy | 887 Sumpter Rd, Ste A, Belleville, MI 48111-4905 | 2007-11-24 |
| 1922190404 | New Jersey Cvs Pharmacy LLC | Pharmacy | 519 Washington Ave, Belleville, NJ 07109 | 2006-09-29 |
| 1629083803 | Walgreen Co | Pharmacy | 515 Carlyle Ave, Belleville, IL 62221-6223 | 2006-07-29 |
| 1255762894 | Lsc Pharmacy Services, Inc. | Pharmacy | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2013-12-09 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 48111 |
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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.