WOODWARD DETROIT CVS, L.L.C.
NPI 1962514810
Pharmacy in Redford, MI

Active since August 31, 2006CLIA 23D2279397 · Waiver
25276 GRAND RIVER AVE, REDFORD, MI 48240(313) 532-6300(313) 592-1227 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodward Detroit Cvs, L.l.c. NPPES

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

WOODWARD DETROIT CVS, L.L.C. (NPI 1962514810), doing business as Cvs Pharmacy #08115, is a healthcare organization registered as a pharmacy in Redford, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1962514810
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWOODWARD DETROIT CVS, L.L.C.
Location Address25276 GRAND RIVER AVERedford, MI 48240-1403
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Fax(313) 592-1227
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
NPI 1962514810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MI · 5301-005651
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
25276 GRAND RIVER AVE, Redford, MI 48240

Other Names 1

Doing Business AsCvs Pharmacy #08115

Other Identifiers 2

Other2349288Other Id Number-commercial Number
Medicaid2349288MI

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 23D2279397

Woodward Detroit CVS, LLC Cvs/Pharmacy #08115 · Redford, MI
Active · expires Mar 9, 2028
CLIA Number23D2279397
Laboratory TypePharmacy
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorRiham Mansour
Laboratory Phone(313) 532-6300
Laboratory LocationWoodward Detroit CVS, LLC Cvs/Pharmacy #0811525276 Grand River Avenue, Redford, MI 48240
CLIA data matches this NPI record on: Address Name Phone
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.
50 services49 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.
39 services39 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.
16 services16 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

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #08115 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08115

DMEPOS supplier · Detroit, MIOperated by Woodward Detroit CVS LLC

Accepts Medicare assignment

CVS Pharmacy #08115 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)20332523
Medicare Participant SinceJanuary 1, 2023
Supplier Location18585 Dale StDetroit, MI 48219
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.

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 1962514810. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as CVS Pharmacy #08115.

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

Woodward Detroit CVS, L.L.C. is located at 25276 Grand River Ave, Redford, MI 48240. The listed phone number is (313) 532-6300.

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 #08115 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 23D2279397) is associated with this NPI, valid through March 9, 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 April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.