Active NPI
Joseph Thomas Woodson III, PHARM D
- Pharmacist
- Woodbury, TN
National Provider Identifier
1356499503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C-6174
- Practice address
- 304 W Main St
Woodbury, TN 37190-1125 - Phone
- (615) 563-4542
- Fax
- (615) 563-2845
- NPI assigned
- Jan 6, 2007
- Last updated
- Jul 8, 2007
- 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 | C-6174 | TN | Primary |
Addresses
Primary practice location
304 W Main St
Woodbury, TN 37190-1125
Mailing address
304 W Main St
Woodbury, TN 37190-1125
Phone (615) 563-4542
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6174 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodson's Pharmacy, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Woodbury, TN
- NPI 1811964190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356499503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W MAIN ST",
"city": "WOODBURY",
"state": "TN",
"postal_code": "371901125",
"telephone_number": "615-563-4542",
"fax_number": "615-563-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W MAIN ST",
"city": "WOODBURY",
"state": "TN",
"postal_code": "371901125",
"telephone_number": "615-563-4542",
"fax_number": "615-563-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODSON",
"first_name": "JOSEPH",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "C-6174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.