Organization Active NPI

Woods Drug Store

  • Geriatric Pharmacist
  • Hopkinsville, KY
National Provider Identifier
1144317058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
P06837 Issued in KY
Legal business name
WOODS DRUG STORE
Practice address
808 S Main St
Hopkinsville, KY 42240-2112
Phone
(270) 885-5341
Fax
(270) 885-5737
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
George B. Coffeen, RPH
Title
Owner
Phone
(270) 885-5341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835G0303X P06837 KY Primary

Addresses

Primary practice location

808 S Main St
Hopkinsville, KY 42240-2112

Mailing address

808 S Main St
P.O. Box 4
Hopkinsville, KY 42240-2112
Phone (270) 885-5341

National Provider Directory

National Provider Directory

Locations

808 S Main St
Hopkinsville, KY 42240
Phone (270) 885-5341

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144317058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S MAIN ST",
            "address_2": "P.O. BOX 4",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402112",
            "telephone_number": "270-885-5341",
            "fax_number": "270-885-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S MAIN ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402112",
            "telephone_number": "270-885-5341",
            "fax_number": "270-885-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COFFEEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-885-5341",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "KY",
            "license": "P06837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.