Dignity Health

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45513 Issued in CA

Legal business name

DIGNITY HEALTH

Doing business as

Woodland Healthcare Pharmacy

Practice address

632 W Gibson Rd
Woodland, CA 95695-5169

Phone

(530) 668-2646

Fax

(530) 662-5120

NPI assigned

Mar 20, 2007

Organization subpart

Yes

Parent organization

DIGNITY HEALTHAs reported in NPPES

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

Authorized official

Name

Joseph D'Angina

Title

Chief Financial Officer

Phone

(530) 669-5372

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woodland Healthcare Pharmacy Doing business as

Part of

Catholic Healthcare West

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1093830994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W GIBSON RD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955169",
            "telephone_number": "530-668-2646",
            "fax_number": "530-662-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W GIBSON RD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955169",
            "telephone_number": "530-668-2646",
            "fax_number": "530-662-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "D'ANGINA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-669-5372"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0549064",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA418980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Healthcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manuel Carlos Diaz Jr., D.O.
• Maria Diaz
• Tracey Dickinson
• Dignity Community Care
• Dignity Community Care
• Dignity Health
• Dignity Health Medical Foundation
• Amie Diller, CNM
• Devon Robert John Dimercurio, AMFT
• Thuy Dinh-Perez, PHARMD

• Community/Retail Pharmacy in Woodland, CA
• Providers in Woodland, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.