WOODWARD DETROIT CVS, L.L.C. (NPI# 1811009749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811009749 |
Entity Type | Organization |
Organization Name | WOODWARD DETROIT CVS, L.L.C. |
Other Organization Name | CVS PHARMACY #08030 |
Practice Address |
1980 E Big Beaver Rd Troy MI 48083-2021 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 2486891051 |
Practice Fax Number | 2486891939 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-02-16 |
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 | 5301-005032 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 2334477 | 01 | |
MI | 2543069 | 05 |
Other Name | Type Code |
---|---|
CVS PHARMACY #08030 | 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 |
1980 E BIG BEAVER RD |
City | TROY |
State | MI |
Zip Code | 48083-2021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609480656 | Sandres P Aodish | Pharmacist | 1980 E Big Beaver Rd, Troy, MI 48083-2021 | 2020-09-06 |
1770114746 | Xenia Maria Chovich | Pharmacist | 1980 E Big Beaver Rd, Troy, MI 48083-2021 | 2020-01-29 |
1578194684 | Shital Desai | Pharmacist | 1980 E Big Beaver Rd, Troy, MI 48083-2021 | 2020-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
Find all providers in zip 48083 |
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 |
---|---|---|---|---|
1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
1427516608 | Option Care Infusion Suites, LLC. | Pharmacy | 1500 W Big Beaver Rd Ste 100, Troy, MI 48084-3522 | 2019-03-07 |
1013394378 | Onecare Ltc | Pharmacy | 1945 Heide Dr Ste A, Troy, MI 48084-5313 | 2015-05-06 |
1144612466 | Troy City Pharmacy Inc | Pharmacy | 1903 E Wattles Rd, Troy, MI 48085-5083 | 2015-02-24 |
1801135777 | Henr Y Ford Health System | Pharmacy | 1414 E Maple Rd Ste 103, Troy, MI 48083-9935 | 2013-02-12 |
1346305760 | Shirley Dobbins | Pharmacy | 404 E Harper St, Troy, TN 38260-5946 | 2006-12-26 |
1518030030 | Kroger Limited Partnership I | Pharmacy | 1 Troy Sq, Troy, MO 63379-3101 | 2006-11-15 |
1992898332 | Prescriptions Plus Pharmacy of Troy Inc | Pharmacy | 523 Troy Plz, Troy, IL 62294-1349 | 2006-09-30 |
1902906001 | Clarks Rx LLC | Pharmacy | 414 W Main St, Troy, OH 45373-3244 | 2006-09-25 |
1962505693 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1329 S Brundidge St, Troy, AL 36081-3126 | 2006-09-07 |
Find all providers in TROY |
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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.