NPIMap

Organization Active NPI

Woods Memorial Hospital Phcy

  • Institutional Pharmacy
  • Etowah, TN
National Provider Identifier
1407869746
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
1269 Issued in TN
Legal business name
WOODS MEMORIAL HOSPITAL PHCY
Doing business as
WOODS MEMORIAL HOSPITAL PHCY
Practice address
886 Highway 411 N
Etowah, TN 37331-1912
Phone
(423) 263-3651
Fax
(423) 263-3776
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Gregory Green, PHARMD
Title
Director of Pharmacy
Phone
(423) 263-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 1269 TN Primary

Addresses

Primary practice location

886 Highway 411 N
Etowah, TN 37331-1912

Mailing address

886 Highway 411 N
Etowah, TN 37331-1912

Other identifiers 2

IdentifierTypeStateIssuer
4414075OtherNCPDP PROVIDER IDENTIFICATION NUMBER
440054MedicaidTN

Other names 1

  • WOODS MEMORIAL HOSPITAL PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Woods Memorial HSP-Crna3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1407869746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 HIGHWAY 411 N",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 HIGHWAY 411 N",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311912",
            "telephone_number": "423-263-3651",
            "fax_number": "423-263-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS MEMORIAL HOSPITAL PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "423-263-3651",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TN",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4414075",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440054",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODS MEMORIAL HOSPITAL PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Etowah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.