WOODWARD DETROIT CVS, LLC (NPI# 1750741757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750741757 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS, LLC |
| Other Organization Name | CVS PHARMACY # 10548 |
| Practice Address |
2600 W. Michigan Ave Kalamazoo MI 49006-5502 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2693434232 |
| Practice Fax Number | 2692169703 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-10-13 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCPDP | 2381971 | 01 |
| MI | 1750741757 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10548 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679822381 | Woodward Detroit Cvs, LLC | Pharmacy | 132 Douglas Ave., Holland, MI 49424-6514 | 2012-09-10 |
| 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 |
2600 W. MICHIGAN AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| 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 |
|---|---|---|---|---|
| 1245622372 | Quantum Drugs Inc | Pharmacy | 1693 S Westnedge Ave, Kalamazoo, MI 49008-1928 | 2015-02-26 |
| 1720380140 | Vjk Corp | Pharmacy | 119 E Paterson St, Kalamazoo, MI 49007-2530 | 2010-11-18 |
| 1710135710 | Arcadia Pharmacy | Pharmacy | 615 E Crosstown Pkwy Ste 100, Kalamazoo, MI 49001-2501 | 2008-09-03 |
| 1952557621 | Family Health Center, Inc | Pharmacy | 2918 Portage St, Kalamazoo, MI 49001-3755 | 2008-08-14 |
| 1407981707 | Ask Your Pharmacist, Inc | Pharmacy | 605 S Burdick St, Kalamazoo, MI 49007-5220 | 2007-02-23 |
| 1760522676 | Western Michigan University | Pharmacy | North Gilkison Avenue, Kalamazoo, MI 49008-5445 | 2007-02-08 |
| 1144380387 | Hardings Pharmacy | Pharmacy | 2626 E Main St, Kalamazoo, MI 49048-2163 | 2006-12-11 |
| 1013012236 | Medicine Mart Inc. | Pharmacy | 5585 Gull Rd, Suite 120, Kalamazoo, MI 49048-6703 | 2006-09-13 |
| 1720595465 | Hardings Markets-west Inc | Pharmacy | 6430 Stadium Dr, Kalamazoo, MI 49009-2016 | 2018-01-03 |
| 1982012001 | Costco Wholesale Corporation | Pharmacy | 5100 Century Ave, Kalamazoo, MI 49006 | 2014-08-01 |
| Find all providers in KALAMAZOO | ||||
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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.