Woodlawn Pharmaceutical Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22421 Issued in TX

Legal business name

WOODLAWN PHARMACEUTICAL GROUP INC

Doing business as

Woodlawn Pharmacy

Practice address

2215 Rollingbrook Drive
Ste 120a
Baytown, TX 77521

Phone

(713) 928-3044

Fax

(713) 947-8081

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mosudi Muhammed Adegbindin, PHARM. D.

Title

Owner & P.I.C.

Phone

(713) 928-3044

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woodlawn Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1245395672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 ROLLINGBROOK DRIVE",
            "address_2": "STE 120A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "713-928-3044",
            "fax_number": "713-947-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 ROLLINGBROOK DRIVE",
            "address_2": "STE 120A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "713-928-3044",
            "fax_number": "713-947-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN PHARMACEUTICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "ADEGBINDIN",
        "authorized_official_first_name": "MOSUDI",
        "authorized_official_middle_name": "MUHAMMED",
        "authorized_official_title_or_position": "OWNER & P.I.C.",
        "authorized_official_telephone_number": "713-928-3044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148092",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlawn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Baytown, TX
• Providers in Baytown, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.