CVS PHARMACY #08216
NPI 1417059700
Pharmacy in Ann Arbor, MI

Active since September 05, 2006CLIA 23D2225353 · Waiver
1700 S INDUSTRIAL AND SIMPSON, ANN ARBOR, MI 48104(734) 827-7980 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cvs Pharmacy #08216 NPPES

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

CVS PHARMACY #08216 (NPI 1417059700) is a healthcare organization registered as a pharmacy in Ann Arbor, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1417059700
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWOODWARD DETROIT CVS, L.L.C.
Location Address1700 S INDUSTRIAL AND SIMPSONAnn Arbor, MI 48104
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateSeptember 5, 2006
Last NPPES UpdateFebruary 23, 2011
NPI 1417059700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MI · 5301-006882
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
1700 S INDUSTRIAL AND SIMPSON, Ann Arbor, MI 48104

Other Names 1

Doing Business AsCvs Pharmacy #08216

Other Identifiers 3

Other2358960Other Id Number-commercial Number
Medicare NSC5603870236
Medicare PINMI3835

Accepted 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 23D2225353

Woodward Detroit CVS, LLC Dba Cvs/Pharmacy #08216 · Ann Arbor, MI
Active · expires May 19, 2027
CLIA Number23D2225353
Laboratory TypePharmacy
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorAli Chehouri
Laboratory Phone(866) 389-2727
Laboratory LocationWoodward Detroit CVS, LLC Dba Cvs/Pharmacy #082161700 South Industrial Highway, Ann Arbor, MI 48104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
186 services186 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.
170 services170 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
14 services14 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
12 services11 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #08216 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08216

DMEPOS supplier · Ann Arbor, MIOperated by Woodward Detroit CVS LLC

Accepts Medicare assignment

CVS Pharmacy #08216 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20329265
Medicare Participant SinceJanuary 1, 2023
Supplier Location1700 S Industrial HwyAnn Arbor, MI 48104
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1417059700. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as CVS Pharmacy #08216.

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

Woodward Detroit CVS, L.L.C. is located at 1700 S Industrial And Simpson, Ann Arbor, MI 48104. The listed phone number is (734) 827-7980.

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. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #08216 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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

Yes. A Certificate of Waiver (number 23D2225353) is associated with this NPI, valid through May 19, 2027. 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 34 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 February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.