CVS PHARMACY # 00028 – NPI #1356429971
Pharmacy

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.

CVS PHARMACY # 00028 is a pharmacy located in MILAN, MI. NPPES has assigned the NPI number 1356429971 to CVS PHARMACY # 00028 on November 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY # 00028” is a dba name, the actual legal business name for this organization is WOODWARD DETROIT CVS, L.L.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 15 years ago on Feb 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CVS PHARMACY # 00028 below.

NPI Profile for
WOODWARD DETROIT CVS, L.L.C.

NPI Number
1356429971
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOODWARD DETROIT CVS, L.L.C.
Doing Business As (dba): CVS PHARMACY # 00028
Primary location
1249 DEXTER STREET
MILAN, MI 48160
Phone: (734) 439-3000 Fax:
Mailing address
1 CVS DR
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax: (401) 770-7108
Organization Subpart
No
Authorized Official
SUSAN COLBERT
DIRECTOR
Phone: (401) 765-1500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
MI 5301008512
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.