Active NPI
Brian Woods
- Pharmacist
- Bullhead City, AZ
National Provider Identifier
1285034645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020684
- Practice address
- 2360 Highway 95
Bullhead City, AZ 86442-7303 - Phone
- (928) 763-5858
- NPI assigned
- Sep 3, 2014
- Sex
- Male
- Sole proprietor
- No
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 | S020684 | AZ | Primary |
Addresses
Primary practice location
2360 Highway 95
Bullhead City, AZ 86442-7303
Mailing address
1570 Paseo Grande Apt 3026
Bullhead City, AZ 86442-8533
Phone (801) 592-5153
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S020684 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Bullhead City, AZ
- NPI 1942215280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1285034645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 PASEO GRANDE APT 3026",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428533",
"telephone_number": "801-592-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 HIGHWAY 95",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864427303",
"telephone_number": "928-763-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-03",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.