WOODWARD DETROIT CVS LLC (NPI# 1073748000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073748000 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS LLC |
| Other Organization Name | CVS PHARMACY #17568 |
| Practice Address |
28800 Dequindre Rd Warren MI 48092-2466 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5863531151 |
| Practice Fax Number | 5863531161 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-05-20 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010870 | MI | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2120087 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17568 | 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 |
| 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 |
| 1336221704 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 35401 Warren Rd, Westland, MI 48185-6590 | 2006-10-19 |
| Street Address |
28800 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357160 | Mohsina Anwar | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2020-02-07 |
| 1770115784 | Maya Mohiddin | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2020-02-07 |
| 1962032243 | Steve Sitto | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2020-01-24 |
| 1598165490 | Deanna Y Saleh | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2014-08-27 |
| 1609200658 | Shannon Habermas | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2013-08-27 |
| 1568719920 | Roop Rajnikant Patel | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2012-08-04 |
| 1033406699 | Erica Marie Cusick | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2011-07-05 |
| 1588950083 | Allison Brattain | Pharmacist | 28800 Dequindre Rd, T-2544, Warren, MI 48092-2466 | 2011-06-22 |
| 1861787467 | Jeremy L Mable | Pharmacist | 28800 Dequindre Rd, Warren, MI 48092-2466 | 2011-06-13 |
| 1235424854 | Lynn Renee Buero | Pharmacist | 28800 Dequindre Rd, Target Store 2544, Warren, MI 48092-2466 | 2011-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| 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 |
|---|---|---|---|---|
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1972163749 | Ryan Rx LLC | Pharmacy | 29230 Ryan Rd Ste B, Warren, MI 48092-4274 | 2019-06-14 |
| 1821573130 | Matrix Pharmacy,llc | Pharmacy | 5827 E 13 Mile Rd, Warren, MI 48092-1512 | 2018-10-02 |
| 1104315597 | Yourx Pharmacy LLC | Pharmacy | 29134 Ryan Rd, Warren, MI 48092-4241 | 2018-05-01 |
| 1245733609 | Abe's Drug Store LLC | Pharmacy | 13770 E 12 Mile Rd, Warren, MI 48088-3751 | 2018-03-13 |
| 1194244780 | New Deshi Pharmacy LLC | Pharmacy | 28685 Ryan Rd, Warren, MI 48092-4124 | 2017-09-14 |
| 1013453950 | Abe S Pharmacy LLC | Pharmacy | 13760 E 12 Mile Rd Ste B, Warren, MI 48088-3751 | 2017-01-17 |
| 1609233162 | Lansing Specialty Pharmacy LLC | Pharmacy | 11890 E 10 Mile Rd, Warren, MI 48089-3901 | 2016-01-28 |
| 1275906554 | Champion Discount Pharmacy, LLC | Pharmacy | 4299 Mahoning Ave Nw, Warren, OH 44483-1928 | 2015-11-09 |
| Find all providers in WARREN | ||||
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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.