NPIMap

Organization Active NPI

Woodward Resource Center Pharmacy

  • Long Term Care Pharmacy
  • Woodward, IA
National Provider Identifier
1295867091
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
944 Issued in IA
Legal business name
WOODWARD RESOURCE CENTER PHARMACY
Practice address
1251 334TH St
Woodward, IA 50276-7509
Phone
(515) 438-3121
Fax
(515) 438-3122
NPI assigned
Mar 9, 2007
Organization subpart
Yes
Parent organization
WOODWARD RESOURCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Clint Reynolds
Title
Business Manager
Phone
(515) 438-3622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 944 IA Primary

Addresses

Primary practice location

1251 334TH St
Woodward, IA 50276-7509

Mailing address

1251 334TH St
Woodward, IA 50276-7509
Phone (515) 438-3121

Other identifiers 2

IdentifierTypeStateIssuer
1932563OtherIANCPDP#
0880088MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Woodward Resource Center4 organizations share this tax ID, including this one
Part of
Woodward Resource Center

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295867091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-3121",
            "fax_number": "515-438-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-3121",
            "fax_number": "515-438-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD RESOURCE CENTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODWARD RESOURCE CENTER",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "515-438-3622"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "1932563",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880088",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.