WOODWARD DETROIT CVS, L.L.C.


Address: 5118 S Martin Luther King Blvd, Lansing, MI 48911
Phone: 5172725424

WOODWARD DETROIT CVS, L.L.C. (NPI# 1780784124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780784124
Entity Type Organization
Organization Name WOODWARD DETROIT CVS, L.L.C.
Other Organization Name CVS PHARMACY #08278
Practice Address 5118 S Martin Luther King Blvd
Lansing
MI 48911
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 5172725424
Enumeration Date 2006-09-25
Last Update Date 2011-02-23
Authorized Official Name SUSAN COLBERT (DIRECTOR)
Authorized Official Telephone 4017651500
Is Organization Subpart N

Taxonomy

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 5301-007354 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 2362363 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #08278 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5118 S MARTIN LUTHER KING BLVD
City LANSING
State MI
Zip Code 48911

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154943603 Promissa Personalized Care Services LLC Assisted Living Facility 200 E Edgewood Blvd, Lansing, MI 48911 2020-05-07
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1447713946 Fadi Nuseibeh Pharmacist 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 2019-04-11
1740704543 Kyle Lardie Dental Hygienist Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 2017-08-02
1124549845 Joash Michael Charles Behavior Technician 3720 Richmond Street, Lansing, MI 48911 2017-07-03
1205212164 Benjamin Curtis Neal Dentist 5601 S Cedar St., Lansing, MI 48911 2015-08-03
1376927608 Heather Lamb Home Health 2919 Risdale St, Lansing, MI 48911 2015-07-16
1669861712 Lucas James Evan Joseph Bila Licensed Practical Nurse 2204 S. Wadsworth Dr, Lansing, MI 48911 2015-01-13
1649695271 Aaron James Hart Occupational Therapist 3960 Patient Care Dr Ste 117, Lansing, MI 48911 2014-02-18
1831465871 Los Equipment Corporation Dentist 6810 S. Cedar St, Suite 5, Lansing, MI 48911 2012-03-23
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437613569 Ingham LLC Pharmacy 1100 W Saginaw St Ste 100, Lansing, MI 48915-2061 2019-01-23
1013429711 Lake Lansing Rx LLC Pharmacy 1540 Lake Lansing Rd Ste 106, Lansing, MI 48912-3757 2017-11-02
1437693108 Edward W Sparrow Hospital Association Pharmacy 2909 E Grand River Ave Ste 101, Lansing, MI 48912-4300 2016-12-14
1588027999 Cedar Pharmacy LLC Pharmacy 2513 S Cedar St, Lansing, MI 48910-3137 2016-04-02
1477913937 Central Pharmacy - Westside LLC Pharmacy 4801 W Saginaw Hwy, Lansing, MI 48917-2623 2016-02-26
1902275928 Central Pharmacy - Mlk LLC Pharmacy 1122 W Holmes Rd Ste 23, Lansing, MI 48910-0333 2015-09-21
1205245586 Atlas Meds Pharmacy Inc Pharmacy 4801 S Martin Luther King Jr Blvd, Lansing, MI 48910-5111 2014-08-12
1164856936 Central Pharmacy Mt Hope LLC Pharmacy 1001 E Mount Hope Ave, Lansing, MI 48910-1822 2013-08-28
1124052964 Kroger Co of Michigan Pharmacy 6430 W Saginaw Hwy, Lansing, MI 48917-1106 2006-07-10
1346242666 Westside Pharmacy, Inc Pharmacy 632 N Dibble Bvd, Lansing, MI 48917 2005-06-01
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Competitor

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City LANSING
Zip Code 48911

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Dataset Information

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.

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