WOODWARD DETROIT CVS LLC (NPI# 1932121605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932121605 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS LLC |
| Other Organization Name | CVS PHARMACY #16797 |
| Practice Address |
27100 Wixom Rd Novi MI 48374-1115 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2483740892 |
| Practice Fax Number | 2483740892 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-09-28 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010855 | MI | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2046170 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16797 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093181943 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 2506 Niles Ave, Saint Joseph, MI 49085-1924 | 2015-08-14 |
| 1902292881 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 1015 S Saginaw Rd, Midland, MI 48640-5642 | 2015-04-08 |
| 1386992204 | Woodward Detroit Cvs LLC | Pharmacy | 626 West Front St, Traverse City, MI 49684-2210 | 2012-08-27 |
| 1073748000 | Woodward Detroit Cvs LLC | Pharmacy | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2009-05-20 |
| 1619125069 | Woodward Detroit Cvs LLC | Pharmacy | 20877 Hall Rd, Macomb, MI 48044-4256 | 2008-08-28 |
| 1528216975 | Woodward Detroit Cvs LLC | Pharmacy | 2400 S Telegraph Rd, Bloomfield Hills, MI 48302-0255 | 2008-08-28 |
| 1508042524 | Woodward Detroit Cvs LLC | Pharmacy | 47330 Michigan Ave, Canton, MI 48188-2582 | 2008-01-22 |
| 1417141482 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 5057 Harvey St, Norton Shores, MI 49444-9795 | 2007-08-31 |
| 1760532089 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 5350 W Main St, Kalamazoo, MI 49009-3304 | 2007-01-11 |
| 1619027950 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 2310 Metropolitan Pkwy, Sterling Heights, MI 48310-4209 | 2007-01-11 |
| Street Address |
27100 WIXOM RD |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913505 | Rawa Velasquez | Pharmacist | 27100 Wixom Rd, Novi, MI 48374-1115 | 2020-02-10 |
| 1770916843 | Alexa Rae Jones | Pharmacist | 27100 Wixom Rd, Novi, MI 48374-1115 | 2013-08-13 |
| 1083964175 | Joanne Lashelle Moss | Pharmacist | 27100 Wixom Rd, Novi, MI 48374-1115 | 2012-09-15 |
| 1922355213 | Krista Katherine Davison | Pharmacist | 27100 Wixom Rd, Novi, MI 48374-1115 | 2012-08-06 |
| 1548547748 | Angela Ajluni | Pharmacist | 27100 Wixom Rd, Novi, MI 48374-1115 | 2011-11-16 |
| 1639452519 | Tiffanie Marie Hennard | Pharmacist | 27100 Wixom Rd, Novi, MI 48374-1115 | 2011-09-27 |
| 1326333741 | Stephanie Kennedy Tapp | Pharmacist | 27100 Wixom Rd, T-1465, Novi, MI 48374-1115 | 2011-06-14 |
| 1730473505 | Patricia L Bergin | Pharmacist | 27100 Wixom Rd, T-1465, Novi, MI 48374-1115 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| 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 |
|---|---|---|---|---|
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| 1245688506 | Heritage Pharmacy of Novi | Pharmacy | 25500 Meadowbrook Rd Ste 160, Novi, MI 48375-1881 | 2016-05-27 |
| 1871963132 | Novi Discount Pharmacy LLC | Pharmacy | 45021 W Pontiac Trl, Novi, MI 48377-1255 | 2015-09-30 |
| 1285016675 | Snf Holdings LLC | Pharmacy | 25875 Novi Rd, Suite 130, Novi, MI 48375-1678 | 2015-06-23 |
| 1639310600 | Nps Group LLC | Pharmacy | 43159 W 9 Mile Rd, Novi, MI 48375-4117 | 2009-03-20 |
| 1457380206 | Coram Alternate Site Services, Inc. | Pharmacy | 28550 Cabot Drive, Suite 200, Novi, MI 48377-2988 | 2006-07-02 |
| 1295372118 | Keystone Specialty Care Pharmacy | Pharmacy | 46325 W 12 Mile Rd Ste 150, Novi, MI 48377-2458 | 2019-12-10 |
| 1295379667 | Novi Pharmacy LLC | Pharmacy | 39575 W 10 Mile Rd Ste 203, Novi, MI 48375-2949 | 2019-10-29 |
| 1780149484 | N A & A Drugs Inc | Pharmacy | 25500 Meadowbrook Rd Ste 160, Novi, MI 48375-1881 | 2019-02-06 |
| 1811413073 | Ali J Hammoud | Pharmacy | 39575 W 10 Mile Rd, Novi, MI 48375-2949 | 2017-08-19 |
| Find all providers in NOVI | ||||
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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.