Organization Active NPI

Westland Maple Drugs Inc.

Doing business as Westland Maple Drugs

  • Community/Retail Pharmacy
  • Westland, MI
National Provider Identifier
1366550725
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301001550 Issued in MI
Legal business name
WESTLAND MAPLE DRUGS INC.
Doing business as
Westland Maple Drugs
Practice address
1949 N Wayne Rd
Westland, MI 48185
Phone
(734) 729-2200
Fax
(734) 729-3857
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Mr. Charles M Canvasser, RPH.
Title
Pres
Phone
(734) 729-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301001550 MI Primary

Addresses

Primary practice location

1949 N Wayne Rd
Westland, MI 48185

Mailing address

1949 N. Wayne Rd.
Westland, MI 48185
Phone (734) 729-2200

Other identifiers 2

IdentifierTypeStateIssuer
2334681OtherOTHER ID NUMBER
2334681MedicaidMI

Other names 1

  • Westland Maple Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231108002596 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1355469495 Practice locations: Westland, MI

National Provider Directory

National Provider Directory

Locations

34500 Ford Rd
Westland, MI 48185
Phone (734) 729-2200

1949 N Wayne Rd
Westland, MI 48185
Phone (734) 729-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1366550725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 N. WAYNE RD.",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185",
            "telephone_number": "734-729-2200",
            "fax_number": "734-729-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185",
            "telephone_number": "734-729-2200",
            "fax_number": "734-729-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAND MAPLE DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "CANVASSER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "734-729-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301001550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2334681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2334681",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westland Maple Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.