Provider Type Icon

WOODWARD DETROIT CVS L.L.C. NPI 1679685507


NPI Information

NPI: 1679685507
Provider Name: WOODWARD DETROIT CVS, L.L.C.

Doing Business As: CVS PHARMACY #08015

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 23D2125174

Address:
29500 5 MILE RD
LIVONIA, MI
ZIP 48154
Phone: (734) 261-1030
Get Directions

WOODWARD DETROIT CVS, L.L.C. is a pharmacy in Livonia, MI. The provider is 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. WOODWARD DETROIT CVS, L.L.C. NPI is 1679685507. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #08015.

The provider's business location address is:

29500 5 MILE RD
LIVONIA, MI
ZIP 48154-710
Phone: (734) 261-1030
Fax: (734) 513-9885

The provider's authorized official is Susan Colbert .
The authorized official title is Director and has the following contact phone number (401) 765-1500.

The CLIA number assigned to this NPI record is 23D2125174 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy5301-005044MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12537446MEDICAIDMICHIGAN
25603870020MEDICARE NSC
32329399OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4P00959529MEDICARE PINMICHIGAN
5MI3835MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.