Roy C Woolery III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302021787 Issued in MI

Practice address

37340 Five Mile Rd
Livonia, MI 48154-1800

Phone

(734) 953-2727

Fax

(734) 953-8555

NPI assigned

Mar 1, 2007

Last updated

May 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woodward Detroit CVS, L.L.C.

  dba CVS Pharmacy #08121

  • Pharmacy
  • Livonia, MI
  • NPI 1497857734
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431216000000",
    "number": "1285762435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21550 HALL RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481835200",
            "telephone_number": "734-676-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37340 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541800",
            "telephone_number": "734-953-2727",
            "fax_number": "734-953-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLERY",
        "first_name": "ROY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302021787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodward Detroit CVS LLC (CVS Pharmacy #17307)
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08121)
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08015)
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08031)
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy#08176)
• Steven Woolweaver II, PA-C
• Lateefah Wooten
• Pamela J Wooten, CCP
• Zayn Wooten
• Jessica Lynn Wortinger, LLP

• Pharmacist in Livonia, MI
• Providers in Livonia, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.