Active NPI
Woodstock Pharmaceutical & Compounding Center Inc
Doing business as Woodstock Pharmacy
- Long Term Care Pharmacy
- Woodstock, GA
National Provider Identifier
1184128290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHRE007695
- Legal business name
- WOODSTOCK PHARMACEUTICAL & COMPOUNDING CENTER INC
- Doing business as
- Woodstock Pharmacy
- Practice address
- 8612 Main St
Woodstock, GA 30188-4829 - Phone
- (678) 285-0760
- Fax
- (770) 971-0315
- NPI assigned
- Mar 22, 2018
- Last updated
- Sep 19, 2025
- 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
- Jonathan Marquess
- Title
- Pharmacy Owner
- Phone
- (770) 092-6647
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | PHRE007695 | GA | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
8612 Main St
Woodstock, GA 30188-4829
Mailing address
8612 Main St
Woodstock, GA 30188-4829
Phone (678) 285-0760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176507 | Other | PK | |
| 000178373A | Medicaid | GA |
Other names 1
- WOODSTOCK PHARMACY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0977638 | Woodstock Pharmacy and Compounding Ctr | Certificate of waiver | Aug 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
8612 Main St
Woodstock, GA 30188
Phone (312) 806-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Marietta, GA
- NPI 1710320981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1184128290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8612 MAIN ST",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884829",
"telephone_number": "678-285-0760",
"fax_number": "770-971-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8612 MAIN ST",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884829",
"telephone_number": "678-285-0760",
"fax_number": "770-971-0315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODSTOCK PHARMACEUTICAL & COMPOUNDING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-22",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MARQUESS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "PHARMACY OWNER",
"authorized_official_telephone_number": "770-092-6647"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "GA",
"license": "PHRE007695",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176507",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000178373A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WOODSTOCK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodstock, GA
- Woodstock Family Practice and Urgent Care
- Woodstock Optometry, P.C.
- Woodstock Pain Relief LLC
- Woodstock Pain Solutions, PC
- Woodstock Pediatric Medicine
- Woodstock Pharmaceutical & Compounding Center Inc
- Woodstock Smiles, PC (Woodstock Dental Care)
- Woodstock Treatment Center LLC (Woodstock Treatment Center)
- Woodstock Urgent Care LLC (Woodstock Family Practice and Urgent Care)
- Woodstock Vision Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.