CVS PHARMACY # 06804
NPI 1750639415
Pharmacy - Community/Retail Pharmacy in Muskegon, MI

Q: What is Woodward Detroit CVS, LLC's NPI number?

The NPI number for Woodward Detroit CVS, LLC is 1750639415. It was assigned to this organization in the NPPES registry on August 28, 2012. The provider is doing business as CVS Pharmacy # 06804.

Q: What is Woodward Detroit CVS, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 28, 2012CLIA 23D2255736 · Waiver

2010 E APPLE AVE, MUSKEGON, MI 49442(231) 767-1122 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cvs Pharmacy # 06804 NPPES

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

CVS PHARMACY # 06804 (NPI 1750639415) is a healthcare organization registered as a community/retail pharmacy in Muskegon, Michigan and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1750639415

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWOODWARD DETROIT CVS, LLC

Location Address2010 E APPLE AVEMuskegon, MI 49442-4348

Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(231) 767-1122

Organization SubpartNo

Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 765-1500

Enumeration DateAugust 28, 2012

Last NPPES UpdateApril 20, 2020

NPPES CertifiedApril 20, 2020

✔ NPI 1750639415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

2010 E APPLE AVE, Muskegon, MI 49442

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Other Names 1

Doing Business AsCvs Pharmacy # 06804

Other Identifiers 2

Other2377112MI · Ncpdp

Medicaid1750639415MI

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 23D2255736

Woodward Detroit CVS, LLC Dba Cvs/Pharmacy #06804 · Muskegon, MI

Active · expires Mar 16, 2028

CLIA Number23D2255736

Laboratory TypePharmacy

Certificate Effective DateMarch 17, 2026

Certificate Expiration DateMarch 16, 2028

Laboratory DirectorMatthew Schrebe

Laboratory Phone(866) 389-2727

Laboratory LocationWoodward Detroit CVS, LLC Dba Cvs/Pharmacy #068042010 East Apple Avenue, Muskegon, MI 49442

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 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.

182 services181 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.

90 services90 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.

78 services77 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.

11 services11 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.

11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Woodward Detroit CVS LLC carries, from the Medicare DMEPOS supplier directory.

Woodward Detroit CVS LLC

DMEPOS supplier · Muskegon, MI

✔

Accepts Medicare assignment

Woodward Detroit CVS LLC 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)20329451

Medicare Participant SinceJanuary 1, 2023

Supplier Location2010 E Apple AveMuskegon, MI 49442

Phone(231) 767-1122

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.

Other Providers at the Same Location NPPES 7

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

GRACE KATHRYN CARPENTER

Pharmacist