CW Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR16289 Issued in AR

Legal business name

CW FAMILY PHARMACY

Doing business as

Woodard Drug

Practice address

210 E Broadway
Glenwood, AR 71943-9243

Phone

(870) 356-2194

NPI assigned

Mar 15, 2016

Last updated

Mar 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Lynn Wagner

Title

Owner

Phone

(479) 243-6169

Specialties & licenses 1

Addresses

Other names 1

• WOODARD DRUG Doing business as

Locations

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.

• Bryna Nicole Criswell, PHARM.D.

  • Pharmacist
  • Glenwood, AR
  • NPI 1881283737
  NPD

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1275994501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E BROADWAY",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439243",
            "telephone_number": "870-356-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E BROADWAY",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439243",
            "telephone_number": "870-356-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CW FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-243-6169"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR16289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODARD DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comprehab, Inc
• Bobbie Craig
• Bryna Nicole Criswell, PHARM.D.
• Angelique Cross, QBHP
• Christopher Crowe, QBHP
• Loren Deputy
• Jessica Dobyns, MCD, CF-SLP
• Edward James Donnelly Sr., RPH
• Dougan's Oak Park LLC
• Emergency Medical Transport

• Community/Retail Pharmacy in Glenwood, AR
• Providers in Glenwood, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.