Woody Weaver Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1947 Issued in TX

Legal business name

WOODY WEAVER PHARMACY INC

Doing business as

Woody Weaver Pharmacy

Practice address

2726 W Gentry Pkwy
Tyler, TX 75702-1635

Phone

(903) 593-2533

Fax

(903) 593-2555

NPI assigned

Oct 21, 2005

Last updated

Jun 3, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jackie Lynn Weaver, PHARM DNPI 1720072523

Title

Owner

Phone

(903) 593-2533

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WOODY WEAVER PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackie Lynn Weaver, DC, PHARM D

  • Chiropractor
  • Tyler, TX
  • NPI 1720072523
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1033109053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 W GENTRY PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757021635",
            "telephone_number": "903-593-2533",
            "fax_number": "903-593-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 W GENTRY PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757021635",
            "telephone_number": "903-593-2533",
            "fax_number": "903-593-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODY WEAVER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-593-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096287",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130525",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODY WEAVER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOODY WEAVER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nona Woods, PHYSICAL THERAPIST
• Veronica Woodson-Mell
• Jessica Woodson
• Rachel Michelle Woodward
• Woody Weaver Pharmacy
• Summer N Woody
• Layton Montgomery Woolford, DO
• Julie Ann Woolverton, PT, DPT
• Cody Brandon Wooster, RN
• Dale A Wooten Jr., CCP

• Community/Retail Pharmacy in Tyler, TX
• Providers in Tyler, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.