Woodside Health Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WOODSIDE HEALTH SERVICES LLC

Practice address

1551 Sturdy Rd
Valparaiso, IN 46383-7883

Phone

(574) 261-9419

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Refaat Ahmed Saleh, PHARM.D.NPI 1346836988

Title

Pharmacy Director

Phone

(574) 261-9419

Specialties & licenses 3

Addresses

Other names 1

• WOODSIDE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Woodside Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodside Health Services LLC

  • Long Term Care Pharmacy
  • Valparaiso, IN
  • NPI 1639897085
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed R Ahmed Saleh, PHARM.D.

  • Pharmacist
  • Valparaiso, IN
  • NPI 1346836988
  NPD Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1154914067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837883",
            "telephone_number": "219-286-3091",
            "fax_number": "219-510-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837883",
            "telephone_number": "574-261-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "AHMED SALEH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "REFAAT",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "574-261-9419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOODSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Witte
• Erin Elaine Woike, M.A.
• Womens Medical Care LLC
• Wong & Smolnicky P C
• Michael A Woods, MD
• Woodside Health Services LLC
• Aaliyah Wright
• Leah Victoria Wu
• Sarah Marie Wurster, LMHC
• Amanda M Wyatt, MA, ATR-BC, LMHC

• Community/Retail Pharmacy in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.