Woodward Detroit CVS, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301-005934 Issued in MI

Legal business name

WOODWARD DETROIT CVS, L.L.C.

Practice address

46960 Van Dyke Ave
Shelby Township, MI 48317-4378

Phone

(586) 726-9220

Fax

(586) 726-2387

NPI assigned

Aug 31, 2006

Organization subpart

No

Name

Susan Colbert

Title

Director

Phone

(401) 765-1500

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Tax ID family

Woodward Detroit CVS LLC219 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Woodward Detroit CVS LLC

  • Pharmacy
  • Allen Park, MI
  • NPI 1003838772
  NPD tax ID
• Woodward Detroit CVS LLC

  • Pharmacy
  • Madison Heights, MI
  • NPI 1023030798
  NPD tax ID
• Woodward Detroit CVS LLC

  • Pharmacy
  • Livonia, MI
  • NPI 1063434736
  NPD tax ID
• Woodward Detroit CVS LLC

  • Pharmacy
  • Dearborn, MI
  • NPI 1073535746
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • West Bloomfield, MI
  • NPI 1003928946
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Kimball, MI
  • NPI 1013029958
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Howell, MI
  • NPI 1023120995
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Dearborn, MI
  • NPI 1043312382
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Ann Arbor, MI
  • NPI 1043322969
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Wayne, MI
  • NPI 1063514354
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Waterford, MI
  • NPI 1063524916
  NPD tax ID
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Detroit, MI
  • NPI 1063524924
  NPD tax ID

Locations

• CVS PHARMACY #08144 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2011.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1013029966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46960 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174378",
            "telephone_number": "586-726-9220",
            "fax_number": "586-726-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD DETROIT CVS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301-005934",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2351776",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2980126",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #08144",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Yali Witulski
• Anthony Bernard Wojcik, D.D.S.
• Malissa Wood, MA, LLP, LPC
• Woodward Detroit CVS LLC
• Woodward Detroit CVS LLC
• Woodward Detroit CVS, L.L.C.
• Woodward Detroit CVS, L.L.C.
• Woodward Detroit CVS, L.L.C.
• Woodward Detroit CVS, L.L.C.
• Catherine Woodward

• All providers in Shelby Township, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.