Woody's Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHRE008579 Issued in GA

Legal business name

WOODY'S PHARMACY, INC.

Practice address

5226 Dahlonega Hwy
Clermont, GA 30527-1900

Phone

(770) 983-3510

Fax

(770) 983-7986

NPI assigned

Dec 30, 2006

Last updated

Aug 22, 2020By 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

Mr. Kevin Joseph Woody, RPH.NPI 1992394142

Title

Owner

Phone

(770) 983-3510

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Kevin Joseph Woody

  • Pharmacist
  • Clermont, GA
  • NPI 1992394142
  NPD Authorized official

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326104555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 DAHLONEGA HWY",
            "city": "CLERMONT",
            "state": "GA",
            "postal_code": "305271900",
            "telephone_number": "770-983-3510",
            "fax_number": "770-983-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 DAHLONEGA HWY",
            "city": "CLERMONT",
            "state": "GA",
            "postal_code": "305271900",
            "telephone_number": "770-983-3510",
            "fax_number": "770-983-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODY'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-983-3510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE008579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00932698A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose White, CCC-SLP
• Jennifer Carter Wiegand, ACNP
• Hillary Caroline Wood, PT, DPT
• Shweta Woodsmall, PHARM D
• Kevin Joseph Woody
• Sarah Yu, MD

• Pharmacist in Clermont, GA
• Providers in Clermont, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.