WOODWARD DETROIT CVS, L.L.C. (NPI# 1629373667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629373667 |
| Entity Type | Organization |
| Organization Name | WOODWARD DETROIT CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY # 03584 |
| Practice Address |
209 S State St Ann Arbor MI 48104-2038 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | SUSAN F. COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1629373667 | 05 | |
| MI | NCPDP | 2374887 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 03584 | 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 |
209 S STATE ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492679 | Safa Jaber | Pharmacist | 209 S State St, Ann Arbor, MI 48104-2005 | 2020-03-20 |
| 1417589300 | Zahra Atoui | Pharmacist | 209 S State St, Ann Arbor, MI 48104-2005 | 2020-02-07 |
| 1184255861 | Lalita Chimanlal Patel | Pharmacist | 209 S State St, Ann Arbor, MI 48104-2005 | 2020-01-30 |
| 1063906071 | Sean Sullivan | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-06-22 |
| 1952899106 | Zahra H Moshref | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-04-24 |
| 1518460484 | Dana Leigh Knoll | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-03-16 |
| 1932500808 | Jennifer Grace Doerfer | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2014-09-10 |
| 1730286311 | Pamela Ann Olmstead | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| 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 |
|---|---|---|---|---|
| 1386164440 | Manoj Rathi | Pharmacy | 201 S 1st St Apt 712, Ann Arbor, MI 48104-1395 | 2017-06-20 |
| 1255787610 | Healthplus Pharmacy of Ann Arbor Inc | Pharmacy | 4350 Jackson Rd Ste 250, Ann Arbor, MI 48103-1890 | 2016-05-04 |
| 1003967035 | Regents of The University of Michigan | Pharmacy | 1500 E Medical Center Dr Spc 5008, Spc 5008, Ann Arbor, MI 48109-5008 | 2007-01-16 |
| 1922019561 | Cascade Hemophilia Consortium | Pharmacy | 517 W William St, Ann Arbor, MI 48103-4943 | 2006-08-10 |
| 1457382434 | Kmart of Michigan Inc | Pharmacy | 215 N Maple Rd, Ann Arbor, MI 48103-2823 | 2006-07-06 |
| 1255801148 | Michigan Urgent Care | Pharmacy | 3280 Washtenaw Ave, Ann Arbor, MI 48104-4250 | 2018-12-04 |
| 1639424385 | Sasco Village LLC | Pharmacy | 325 N Maple Rd, Ann Arbor, MI 48103-2824 | 2012-07-18 |
| 1619291788 | University of Michigan Health System | Pharmacy | 1500 E Medical Center Dr, B1-282 Cancer Center, Ann Arbor, MI 48109-5000 | 2010-03-18 |
| 1518116789 | Regents of The University of Michigan Ambulatory Pharmacy | Pharmacy | 4260 Plymouth Rd, Room 1002, Ann Arbor, MI 48109-2700 | 2008-09-12 |
| 1033385851 | Regents of The University of Michigan Ambulatory Pharmacy | Pharmacy | 1500 E Medical Center Dr, Umh Ambulatory Pharmacy Services, Ann Arbor, MI 48109-5000 | 2008-05-01 |
| Find all providers in ANN ARBOR | ||||
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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.