WOODWARD DETROIT CVS, LLC (NPI# 1679822381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679822381 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS, LLC |
| Other Organization Name | CVS PHARMACY # 10137 |
| Practice Address |
132 Douglas Ave. Holland MI 49424-6514 |
| Mailing Address |
One Cvs Drive Woonsocket RI 02895-6164 |
| Practice Telephone | 6163962959 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCPDP | 2377150 | 01 |
| MI | 1679822381 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10137 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750741757 | Woodward Detroit Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2600 W. Michigan Ave, Kalamazoo, MI 49006-5502 | 2016-03-03 |
| 1568711273 | Woodward Detroit Cvs, LLC | Pharmacy | 1306 S. Mission St., Mount Pleasant, MI 48858-4689 | 2012-09-10 |
| 1750639415 | Woodward Detroit Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2010 E Apple Ave, Muskegon, MI 49442-4348 | 2012-08-28 |
| 1902293392 | Woodward Detroit Cvs, LLC | Durable Medical Equipment & Medical Supplies | 101 N Euclid Ave, Bay City, MI 48706-2939 | 2015-04-23 |
| Street Address |
132 DOUGLAS AVE. |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1770595670 | Model Drug Store | Pharmacy | 35 W 8th St, Holland, MI 49423-3102 | 2006-08-12 |
| 1992710008 | Walgreen Co | Pharmacy | 780 Washington Ave, Holland, MI 49423-7131 | 2006-07-29 |
| 1922058908 | Dykstra Drug Store | Pharmacy | 91 Douglas Ave, Holland, MI 49424-2188 | 2006-05-11 |
| 1457977514 | Pgpa LLC | Pharmacy | 285 James St, Holland, MI 49424-1849 | 2020-06-24 |
| 1982264826 | Cancer & Hematology Centers of Western Mi, P.C. | Pharmacy | 12460 Riley St, Holland, MI 49424-8217 | 2019-06-13 |
| 1720599228 | Route 16 Pharmacy, LLC | Pharmacy | 19 N Main St, Holland, NY 14080-9509 | 2017-10-24 |
| 1427355767 | Injury Med Express | Pharmacy | 6920 Hall St, Suite #2, Holland, OH 43528-9485 | 2011-02-23 |
| 1578622676 | Prevos Family Markets, Inc | Pharmacy | 50 Douglas Ave, Holland, MI 49424-2198 | 2006-12-06 |
| 1013017342 | Family Fare, LLC | Pharmacy | 993 Butternut Dr, Holland, MI 49424-1552 | 2006-09-25 |
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|---|---|---|---|---|
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| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| 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.