WOODWARD DETROIT CVS, L.L.C. (NPI# 1790897643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790897643 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #08108 |
| Practice Address |
33920 23 Mile Rd Chesterfield MI 48047-4005 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8107253900 |
| Practice Fax Number | 8107250880 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-06-25 |
| 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 | 5301-005535 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2348173 | 01 | |
| MI | 2727807 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08108 | 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 |
33920 23 MILE RD |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48047-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085258 | Jennifer Tran | Pharmacist | 33920 23 Mile Rd, Chesterfield, MI 48047-4005 | 2020-02-19 |
| 1346871118 | Reena Chauhan | Pharmacist | 33920 23 Mile Rd, Chesterfield, MI 48047-4005 | 2020-01-30 |
| 1083245047 | Zachary Ryan Walters | Pharmacist | 33920 23 Mile Rd, Chesterfield, MI 48047-4005 | 2020-01-29 |
| 1568093698 | George Tohme | Pharmacist | 33920 23 Mile Rd, Chesterfield, MI 48047-4005 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| 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 |
|---|---|---|---|---|
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1841737384 | Valeri Kraus | Pharmacy | 1929 Preston Ridge Dr, Chesterfield, MO 63017-8736 | 2017-01-23 |
| 1275622946 | Dierbergs Markets Inc | Pharmacy | 1730 Clarkson Rd, Chesterfield, MO 63017-4976 | 2006-10-12 |
| 1972698520 | Clarkson Square Pharmacy Inc | Pharmacy | 1737 Clarkson Rd, Chesterfield, MO 63017-4977 | 2006-10-03 |
| 1548205073 | Forum Center Pba Pharmacy | Pharmacy | 67 Forum Shopping Ctr, Chesterfield, MO 63017-3006 | 2006-06-18 |
| 1376584227 | S and L Drugs Inc | Pharmacy | 14842 Clayton Rd, Chesterfield, MO 63017-7882 | 2006-06-10 |
| 1063919710 | Blink Health Pharmacy LLC | Pharmacy | 100 Chesterfield Business Pkwy, Suite 268, Chesterfield, MO 63005-1271 | 2018-04-10 |
| 1073698338 | Longs Drugs of Chesterfield Sc Inc | Pharmacy | 139 Main St, Chesterfield, SC 29709-1702 | 2006-10-26 |
| 1841398823 | Henry Ford Macomb Hospital Corporation | Pharmacy | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2006-09-21 |
| 1205867298 | Kmart of Michigan Inc | Pharmacy | 50700 Gratiot Ave, Chesterfield, MI 48051-3131 | 2006-07-06 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on WOODWARD DETROIT CVS, L.L.C..
| 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.