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CVS PHARMACY # 05610
NPI 1861796112
Pharmacy in Grand Rapids, MI

Active since December 30, 2010CLIA 23D2255734 · Waiver
3590 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(616) 447-2563(401) 770-7108 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy # 05610 NPPES

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

CVS PHARMACY # 05610 (NPI 1861796112) is a healthcare organization registered as a pharmacy in Grand Rapids, Michigan and active in the NPI registry since December 2010. 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

NPI1861796112
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWOODWARD DETROIT CVS, L.L.C.
Location Address3590 PLAINFIELD AVE NEGrand Rapids, MI 49525-2719
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(616) 447-2563
Fax(401) 770-7108
Organization SubpartNo
Authorized OfficialSusan F. ColbertDirector, Payer Relations · (401) 765-1500
Enumeration DateDecember 30, 2010
Last NPPES UpdateMay 9, 2011
✔ NPI 1861796112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
3590 PLAINFIELD AVE NE, Grand Rapids, MI 49525
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Other Names 1

Doing Business AsCvs Pharmacy # 05610

Other Identifiers 4

Medicaid1861796112 RXMI
Other2374837MI · Ncpdp
Medicare PINMI3835MI
Medicare NSC5603870244MI

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 23D2255734

Woodward Detroit CVS, LLC Dba Cvs/Pharmacy #05610 · Grand Rapids, MI
Active · expires Mar 16, 2028
CLIA Number23D2255734
Laboratory TypePharmacy
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorKristen Buthker
Laboratory Phone(866) 389-2727
Laboratory LocationWoodward Detroit CVS, LLC Dba Cvs/Pharmacy #056103590 Plainfield Ave NE, Grand Rapids, MI 49525
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 4

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.
156 services155 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.
140 services140 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.
12 services12 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

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmcy #05610 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmcy #05610

DMEPOS supplier · Grand Rapids, MIOperated by Woodward Detroit CVS LLC
✔

Accepts Medicare assignment

CVS Pharmcy #05610 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)20329367
Medicare Participant SinceJanuary 1, 2023
Supplier Location3590 Plainfield Ave NEGrand Rapids, MI 49525
Phone(616) 447-2563
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 3

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

DORA NGUYEN
Pharmacist
3590 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 530-2338
COLLEEN BURNS PHARMD
Pharmacist
3590 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 447-2563
TERRI LYNN KULHANEK
Pharmacist
3590 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 447-2563

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 1861796112. It was assigned to this organization in the NPPES registry on December 30, 2010. The provider is doing business as CVS Pharmacy # 05610.

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

Woodward Detroit CVS, L.L.C. is located at 3590 Plainfield Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 447-2563.

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 Pharmcy #05610 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 23D2255734) is associated with this NPI, valid through March 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 May 9, 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.