CVS PHARMACY #08103
NPI 1073625919
Pharmacy in Hazel Park, MI

Q: What is Woodward Detroit CVS, L.L.C.'s NPI number?

The NPI number for Woodward Detroit CVS, L.L.C. is 1073625919. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as CVS Pharmacy #08103.

Q: What is Woodward Detroit CVS, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since August 31, 2006CLIA 23D2071768 · Waiver

33 WEST NINE MILE RD., HAZEL PARK, MI 48030(248) 541-1650(248) 414-5753 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cvs Pharmacy #08103 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #08103 (NPI 1073625919) is a healthcare organization registered as a pharmacy in Hazel Park, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1073625919

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWOODWARD DETROIT CVS, L.L.C.

Location Address33 WEST NINE MILE RD.Hazel Park, MI 48030-1413

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146

Phone(248) 541-1650

Fax(248) 414-5753

Organization SubpartNo

Authorized OfficialSusan ColbertDirector · (401) 765-1500

Enumeration DateAugust 31, 2006

Last NPPES UpdateJune 26, 2014

✔ NPI 1073625919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MI · 5301-005452

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

33 WEST NINE MILE RD., Hazel Park, MI 48030

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Other Names 1

Doing Business AsCvs Pharmacy #08103

Other Identifiers 5

Medicare PINMI3835

Other2347486Other Id Number-commercial Number

Medicaid2683275MI

Medicare PINP00959529MI

Medicare NSC5603870086

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2071768

Woodward Detroit CVS, LLC Dba Cvs/Pharmacy #08103 · Hazel Park, MI

Active · expires Jan 16, 2028

CLIA Number23D2071768

Laboratory TypePharmacy

Certificate Effective DateJanuary 17, 2026

Certificate Expiration DateJanuary 16, 2028

Laboratory DirectorChinwe Uduh

Laboratory Phone(866) 389-2727

Laboratory LocationWoodward Detroit CVS, LLC Dba Cvs/Pharmacy #0810333 West Nine Mile Road, Hazel Park, MI 48030

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

72 services72 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

44 services44 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

20 services20 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodward Detroit CVS, L.L.C.'s NPI number?

The NPI number for Woodward Detroit CVS, L.L.C. is 1073625919. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as CVS Pharmacy #08103.

Where is Woodward Detroit CVS, L.L.C. located?

Woodward Detroit CVS, L.L.C. is located at 33 West Nine Mile Rd., Hazel Park, MI 48030. The listed phone number is (248) 541-1650.

What is Woodward Detroit CVS, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Woodward Detroit CVS, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2071768) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodward Detroit CVS, L.L.C. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Woodward Detroit CVS, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Woodward Detroit CVS, L.L.C. was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.