Individual provider Active NPI

Darrell Wayne Woodson, DPH

  • Pharmacist
  • Lawton, OK
National Provider Identifier
1053454157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9232 Issued in OK
Practice address
19305 NE Cache Rd
Lawton, OK 73507-6125
Phone
(580) 248-4367
NPI assigned
Feb 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9232 OK Primary

Addresses

Primary practice location

19305 NE Cache Rd
Lawton, OK 73507-6125

Mailing address

205 SW Sheridan Rd
Lawton, OK 73505-1518
Phone (580) 248-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9232OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Buy for Less Discount Pharmacy Current Accepting new patients
Buy for Less Discount Pharmacy Current Accepting new patients

Locations

205 SW Sheridan Rd
Lawton, OK 73505
Phone (580) 248-0300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053454157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735051518",
            "telephone_number": "580-248-0300",
            "fax_number": "580-585-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19305 NE CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735076125",
            "telephone_number": "580-248-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "DARRELL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "9232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.