CVS PHARMACY #08002
NPI 1598877417
Pharmacy in Walled Lake, MI

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

The NPI number for Woodward Detroit CVS, L.L.C. is 1598877417. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as CVS Pharmacy #08002.

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, 2006

100 W WEST MAPLE RD, WALLED LAKE, MI 48390(248) 624-4555(248) 624-0743 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Cvs Pharmacy #08002 NPPES

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

CVS PHARMACY #08002 (NPI 1598877417) is a healthcare organization registered as a pharmacy in Walled Lake, Michigan and active in the NPI registry since August 2006. The organization lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1598877417

Entity TypeOrganization

Primary Taxonomy333600000X

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

Location Address100 W WEST MAPLE RDWalled Lake, MI 48390-3402

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

Phone(248) 624-4555

Fax(248) 624-0743

Organization SubpartNo

Authorized OfficialSusan ColbertDirector · (401) 765-1500

Enumeration DateAugust 31, 2006

Last NPPES UpdateFebruary 29, 2012

✔ NPI 1598877417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MI · 5301-005025

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

100 W WEST MAPLE RD, Walled Lake, MI 48390

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Other Names 1

Doing Business AsCvs Pharmacy #08002

Other Identifiers 5

Medicare NSC5603870024

Medicare PINMI3835

Other2303080Other Id Number-commercial Number

Medicaid1942470MI

Medicare PINP00959529MI

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy #08002 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20100930021482DME · PharmacyDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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.

193 services191 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.

151 services151 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.

30 services30 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.

15 services15 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.

13 services13 patients

Other Providers at the Same Location NPPES 12

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

KARI MCAVOY N.P.

Nurse Practitioner (Family)