Organization Active NPI

Westview Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Tulsa, OK
National Provider Identifier
1376683169
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
22775 Issued in OK
Legal business name
WESTVIEW PHARMACY
Practice address
3606 N Cincinnati Ave
Tulsa, OK 74106-1536
Phone
(918) 425-1385
Fax
(918) 430-0118
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mr. Bobby R Woodard Jr., R.PHNPI 1093458077
Title
Pic
Phone
(918) 425-1385

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
Durable Medical Equipment & Medical Supplies 332B00000X 22775 OK Primary

Addresses

Primary practice location

3606 N Cincinnati Ave
Tulsa, OK 74106-1536

Mailing address

PO Box 6028
Tulsa, OK 74148-0028
Phone (918) 425-1385

Other identifiers 2

IdentifierTypeStateIssuer
100238600BMedicaidOK
OKA101554OtherOKPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930008257 OK DME Supplier - Pharmacy 4587651179 Practice locations: Tulsa, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Westview Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1376683169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6028",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741480028",
            "telephone_number": "918-425-1385",
            "fax_number": "918-430-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N CINCINNATI AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061536",
            "telephone_number": "918-425-1385",
            "fax_number": "918-430-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTVIEW PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "918-425-1385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "22775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238600B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OKA101554",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.