WOODWARD DETROIT CVS, L.L.C. (NPI# 1619089554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619089554 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #08101 |
| Practice Address |
900 W 9 Mile Rd Ferndale MI 48220-1222 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2485439940 |
| Practice Fax Number | 2484145756 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| 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 | 5301-005414 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2667413 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2347157 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08101 | 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 |
900 W 9 MILE RD |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710519723 | Joshua Eckhout | Pharmacist | 900 W 9 Mile Rd, Ferndale, MI 48220-1222 | 2020-02-07 |
| 1871124701 | Reem Romaya | Pharmacist | 900 W 9 Mile Rd, Ferndale, MI 48220-1222 | 2020-01-29 |
| 1407487580 | Bilal Nahle | Pharmacist | 900 W 9 Mile Rd, Ferndale, MI 48220-1222 | 2020-01-28 |
| 1932730264 | Venkataraman Ravichandran | Pharmacist | 900 W 9 Mile Rd, Ferndale, MI 48220-1222 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| 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 |
|---|---|---|---|---|
| 1386114270 | Michigan Urgent Care | Pharmacy | 641 W 9 Mile Rd Ste A, Ferndale, MI 48220-1779 | 2018-12-04 |
| 1457806432 | Health Choice Pharmacy 2 LLC | Pharmacy | 600 W 9 Mile Rd, Ferndale, MI 48220-1720 | 2016-08-19 |
| 1326331711 | Premier Care Pharmacy Inc | Pharmacy | 23131 Woodward Ave, Ferndale, MI 48220-1360 | 2011-05-18 |
| 1386964203 | Royal Oak Family Pharmacy, LLC | Pharmacy | 23420 Woodward Ave, Ferndale, MI 48220-1344 | 2010-06-02 |
| 1346793817 | Ferndale Family Pharmacy Inc | Pharmacy | 753 W 9 Mile Rd, Ferndale, MI 48220-1217 | 2016-08-01 |
| 1134509656 | Epic Pharmacy Pllc | Pharmacy | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2015-06-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.