Active NPI
Woody Greer Shultz, R.PH.
- Pharmacist
- Groesbeck, TX
National Provider Identifier
1164567657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18008
- Practice address
- 404 S Dr J B Riggs Dr
Groesbeck, TX 76642-1824 - Phone
- (154) 729-3092
- Fax
- (254) 729-3999
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18008 | TX | Primary |
Addresses
Primary practice location
404 S Dr J B Riggs Dr
Groesbeck, TX 76642-1824
Mailing address
404 S Dr J B Riggs Dr
Groesbeck, TX 76642-1824
Phone (154) 729-3092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141468 | Medicaid | TX | |
| 4521438 | Other | TX | NCDPD NO. |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18008 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GT Vaughans Pharmacy LLC | Past | Accepting new patients | |
| Groesbeck City Drug | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Groesbeck, TX
- NPI 1457465445
-
- Community/Retail Pharmacy
- Hubbard, TX
- NPI 1972500759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164567657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 S DR J B RIGGS DR",
"city": "GROESBECK",
"state": "TX",
"postal_code": "766421824",
"telephone_number": "154-729-3092",
"fax_number": "254-729-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 S DR J B RIGGS DR",
"city": "GROESBECK",
"state": "TX",
"postal_code": "766421824",
"telephone_number": "154-729-3092",
"fax_number": "254-729-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTZ",
"first_name": "WOODY",
"middle_name": "GREER",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141468",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCDPD NO.",
"identifier": "4521438",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Groesbeck, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.