Organization Active NPI

Woodstock Drug Inc

  • Community/Retail Pharmacy
  • Woodstock, AL
National Provider Identifier
1366593139
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
110245 Issued in AL
Legal business name
WOODSTOCK DRUG INC
Practice address
28891 Highway 5
Woodstock, AL 35188-0280
Phone
(205) 938-9221
Fax
(205) 938-9290
NPI assigned
Jan 16, 2007
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mr. David F Rooker, RPHNPI 1689687469
Title
President
Phone
(205) 938-9221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 110245 AL Primary

Addresses

Primary practice location

28891 Highway 5
Woodstock, AL 35188-0280

Mailing address

PO Box 280
28891 Highway 5
Woodstock, AL 35188-0280
Phone (205) 938-9221

Other identifiers 1

IdentifierTypeStateIssuer
100002314MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181108002419 AL Part B Supplier - Pharmacy 8022133651 Practice locations: Woodstock, AL

National Provider Directory

National Provider Directory

Locations

28891 Highway 5
Woodstock, AL 35188
Phone (205) 938-9221

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1366593139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "address_2": "28891 HIGHWAY 5",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351880280",
            "telephone_number": "205-938-9221",
            "fax_number": "205-938-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28891 HIGHWAY 5",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351880280",
            "telephone_number": "205-938-9221",
            "fax_number": "205-938-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "ROOKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-938-9221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "110245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002314",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.