Active NPI
Woodys Pharmacy Inc.
- Community/Retail Pharmacy
- New Tazewell, TN
National Provider Identifier
1073632972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0000003290
- Legal business name
- WOODYS PHARMACY INC.
- Practice address
- 408 S Broad St
Ste 2
New Tazewell, TN 37825-7800 - Phone
- (423) 626-3333
- Fax
- (423) 626-5522
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph J Collins, PHARMD
- Title
- Pharmacist in Charge
- Phone
- (423) 626-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0000003290 | TN | Primary |
Addresses
Primary practice location
408 S Broad St
Ste 2
New Tazewell, TN 37825-7800
Mailing address
408 S Broad St
Ste 2
New Tazewell, TN 37825-7800
Phone (423) 626-3333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122015001 | Other | TN | MEDICARE ID NUMBER |
| 122015001 | Medicaid | TN | |
| 4431881 | Other | TN | NCPDP NUMBER |
| 4431881 | Other | TN | NABP NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Woodys Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- New Tazewell, TN
- NPI 1982700266
Locations
408 S Broad St
Ste 2
New Tazewell, TN 37825
Phone (423) 626-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361318400000",
"number": "1073632972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S BROAD ST",
"address_2": "STE 2",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378257800",
"telephone_number": "423-626-3333",
"fax_number": "423-626-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S BROAD ST",
"address_2": "STE 2",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378257800",
"telephone_number": "423-626-3333",
"fax_number": "423-626-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODYS PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2013-02-20",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "423-626-3333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "0000003290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID NUMBER",
"identifier": "122015001",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122015001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "4431881",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "4431881",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.