Active NPI
CVS Caremark
- Urgent Care Clinic/Center
- Northville, MI
National Provider Identifier
1053788356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 4704272276
- Legal business name
- CVS CAREMARK
- Practice address
- 39350 9 Mile Rd
Northville, MI 48167-9164 - Phone
- (401) 770-3959
- NPI assigned
- Aug 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kavita Wadekar
- Title
- Credentialing Coordinator
- Phone
- (401) 770-3959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 4704272276 | MI | Primary |
Addresses
Primary practice location
39350 9 Mile Rd
Northville, MI 48167-9164
Mailing address
759 E Bluff CT
Rochester Hills, MI 48307-6080
Phone (248) 229-4065
National Provider Directory
National Provider Directory- Tax ID family
- CVS Caremark Corporation
Locations
39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Shelby Township, MI
- NPI 1417326786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440115200000",
"number": "1053788356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 E BLUFF CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076080",
"telephone_number": "248-229-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39350 9 MILE RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481679164",
"telephone_number": "401-770-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS CAREMARK",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-21",
"last_updated": "2015-08-21",
"status": "A",
"authorized_official_last_name": "WADEKAR",
"authorized_official_first_name": "KAVITA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "401-770-3959"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MI",
"license": "4704272276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.