Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1205948163
Woodward Detroit Cvs, L.l.c.
Organization Subpart: NO
Active
NPI Number1205948163
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1205948163
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-08-31
Last Updated2014-06-26
Authorized OfficialSusan Colbert
Director
Phone: 4017651500
Mailing Address1 Cvs Dr, Po Box 1075
Woonsocket, RI 02895-6146
United States
📍 View Map
Primary Practice Address4031 Grange Hall Rd
Holly, MI 48442-1938
United States
Phone: (248) 634-8294
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2358263Other ID Number-Commercial Number
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
No3336C0003X – Pharmacy, Community/Retail Pharmacy--
Yes333600000X – PharmacyMI5301-006800
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About NPI 1205948163

Woodward Detroit Cvs, L.l.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1205948163. The primary specialty listed is Pharmacy. The organization is located in Holly, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1205948163?

NPI 1205948163 belongs to Woodward Detroit Cvs, L.l.c., a Pharmacy in Holly, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1205948163 active?

The current status of NPI 1205948163 in the NPPES registry is Active. The record was last updated on 2014-06-26.

What specialty is NPI 1205948163?

NPI 1205948163 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1205948163?

You can verify NPI 1205948163 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1205948163?

The primary practice address on file for NPI 1205948163 is 4031 Grange Hall Rd, Holly, MI 48442-1938. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1205948163 issued?

NPI 1205948163 was first issued (enumerated) on 2006-08-31. The NPPES record was last updated on 2014-06-26.

Practice Location Map

Woodward Detroit Cvs, L.l.c. is located at 4031 Grange Hall Rd, Holly, MI. Use the map below to find directions or verify the practice location.

📍 4031 Grange Hall Rd, Holly, MI 48442-1938  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Woodward Detroit Cvs, L.l.c.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1205948163. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy5301-006800MI
Data Verified from CMS NPPES Last synced: 2026-08-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162