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CVS PHARMACY #08052
NPI 1578675419
Pharmacy in Harper Woods, MI

Active since August 31, 2006CLIA 23D2260533 · Waiver
19818 KELLY RD, HARPER WOODS, MI 48225(313) 526-7900(313) 526-2208 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #08052 NPPES

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

CVS PHARMACY #08052 (NPI 1578675419) is a healthcare organization registered as a pharmacy in Harper Woods, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1578675419
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWOODWARD DETROIT CVS, L.L.C.
Location Address19818 KELLY RDHarper Woods, MI 48225-1914
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(313) 526-7900
Fax(313) 526-2208
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1578675419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301-005095
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
19818 KELLY RD, Harper Woods, MI 48225
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Other Names 1

Doing Business AsCvs Pharmacy #08052

Other Identifiers 4

Medicare PINMI3835
Medicare NSC5603870194
Medicaid1868533MI
Other2342967Other Id Number-commercial Number

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 23D2260533

Woodward Detroit CVS, LLC Dba Cvs/Pharmacy #08052 · Harper Woods, MI
Active · expires May 18, 2028
CLIA Number23D2260533
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorMing Lee
Laboratory Phone(866) 389-2727
Laboratory LocationWoodward Detroit CVS, LLC Dba Cvs/Pharmacy #0805219818 Kelly Road, Harper Woods, MI 48225
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
150 services31 patients
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.
19 services19 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #08052 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08052

DMEPOS supplier · Harper Woods, MIOperated by Woodward Detroit CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #08052 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)20332073
Medicare Participant SinceJanuary 1, 2023
Supplier Location19818 Kelly RdHarper Woods, MI 48225
Phone(313) 526-7900
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN ANNE LEACH RPH
Pharmacist
19818 KELLY RD
HARPER WOODS, MI 48225
Wayne County (313) 526-7900
DR. STEWART OLNEY PHARMD
Pharmacist
19818 KELLY RD
HARPER WOODS, MI 48225
Wayne County (313) 526-7900
GINO HASSAN GHAMLOUCHE PHARMD
Pharmacist
19818 KELLY RD
HARPER WOODS, MI 48225
Wayne County (313) 526-7900

Frequently Asked Questions

What is WOODWARD DETROIT CVS, L.L.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1578675419, enumerated as an "organization" on August 31, 2006.

Where is the provider located?

The provider is located at 19818 KELLY RD HARPER WOODS, MI 48225 and the phone number is (313) 526-7900.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.

What insurance does WOODWARD DETROIT CVS, L.L.C. accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.