Active NPI
Derek Kent Woods, PHARMD
- Pharmacist
- Stillwater, OK
National Provider Identifier
1568283182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14884
- Practice address
- 2315 N Perkins Rd
Stillwater, OK 74075 - Phone
- (405) 564-7115
- NPI assigned
- Oct 17, 2024
- Last updated
- Oct 17, 2024
- 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 | 14884 | OK | Primary |
Addresses
Primary practice location
2315 N Perkins Rd
Stillwater, OK 74075
Mailing address
1213 W Mountain Heights Rd
Fort Cobb, OK 73038
Phone (580) 481-8082
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 |
|---|---|---|---|
| 14884 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1568283182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 W MOUNTAIN HEIGHTS RD",
"city": "FORT COBB",
"state": "OK",
"postal_code": "73038",
"telephone_number": "580-481-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 N PERKINS RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "74075",
"telephone_number": "405-564-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DEREK",
"middle_name": "KENT",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.