WOODWARD DETROIT CVS, L.L.C. (NPI# 1184732547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184732547 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #11247 |
| Practice Address |
225 E State St Montrose MI 48457-9004 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8106392071 |
| Practice Fax Number | 8106396179 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-02-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007855 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 2336887 | 01 | |
| MI | 2336887 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11247 | 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 |
225 E STATE ST |
| City | MONTROSE |
| State | MI |
| Zip Code | 48457-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073231 | Amanda M Lawrence | Pharmacist | 225 E State St, Montrose, MI 48457-9004 | 2020-01-30 |
| 1952642456 | Nancy Duggan | Pharmacist | 225 E State St, Montrose, MI 48457-9004 | 2013-03-07 |
| 1578749909 | Sav On Home Healthcare Supply Inc | Durable Medical Equipment & Medical Supplies | 225 E State St, Montrose, MI 48457-9004 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437977 | Corinne Sue Hill | Registered Nurse | 204 West State St, Montrose, MI 48457 | 2015-09-16 |
| 1083080832 | Lucille Miller | Registered Nurse | 204 West State Street, Montrose, MI 48457 | 2015-08-17 |
| 1548397904 | Robin C Ballard Dds PC | Dentist | 226 W State St, Montrose, MI 48457 | 2007-02-27 |
| 1740334887 | Jaime Anne Nowicki Abbott | Dentist | 106 Nanita Dr, Montrose, MI 48457 | 2007-01-23 |
| 1063889038 | Josephine Irwin | Licensed Practical Nurse | 204 W State St, Montrose, MI 48457 | 2015-08-26 |
| 1316198260 | Kathleen Sue Burke | Community Based Residential Treatment Facility, Mental Illness | 138 Washington, Montrose, MI 48457-7719 | 2008-10-08 |
| 1356417034 | Tonia Lynn Maitland | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12237 Marshall Rd, Montrose, MI 48457-8802 | 2006-11-27 |
| 1679017396 | Sharlyn Matthews | Licensed Practical Nurse | 204 W. State Street, Montrose, MI 48457-9004 | 2016-12-14 |
| 1871680215 | Friends Who Care-montrose, LLC | Home Health | 276 E State St, Montrose, MI 48457-9004 | 2006-10-06 |
| 1912510942 | Birch Tree Care and Consultation LLC | Home Health | 7210 Dodge Rd, Montrose, MI 48457-9030 | 2020-08-28 |
| Find all providers in zip 48457 | ||||
| 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 |
|---|---|---|---|---|
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1679764443 | Miracle Pharmacy Inc. | Pharmacy | 2490 Honolulu Ave # 140-b, Montrose, CA 91020-1800 | 2007-08-07 |
| 1063622298 | Miracle Pharmacy Inc. | Pharmacy | 2490 Honolulu Ave # 140b, Montrose, CA 91020-1800 | 2007-05-23 |
| 1922049832 | Garfield Beach Cvs LLC | Pharmacy | 2037 Verdugo Blvd, Montrose, CA 91020-1626 | 2006-06-10 |
| 1508412057 | Galen Rx Pharmacy Inc | Pharmacy | 4111 Ocean View Blvd, Montrose, CA 91020-1518 | 2019-08-12 |
| 1407252166 | Pharmacy Partners Inc | Pharmacy | 2490 Honolulu Ave, Suite 110, Montrose, CA 91020-1800 | 2014-11-07 |
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|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.