Woodmark Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

031869 Issued in NY

Legal business name

WOODMARK PHARMACY

Doing business as

WOODMARK PHARMACY

Practice address

1142 Wehrle Dr
Williamsville, NY 14221-7748

Phone

(716) 631-3381

Fax

(716) 631-3097

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Stacy Johnson

Title

Supervising Pharmacist

Phone

(716) 631-3381

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WOODMARK PHARMACY Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1629089289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217748",
            "telephone_number": "716-631-3381",
            "fax_number": "716-631-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217748",
            "telephone_number": "716-631-3381",
            "fax_number": "716-631-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMARK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "716-631-3381"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "031869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01572590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODMARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Martin Wolfley, RPA-C
• Christine Marie Wolniewicz, MS, RD, CDN
• Dawn Marie Womble, LPN
• Andrea Wong, M.D.
• Henri T Woodman, M.D.
• Woodmark Pharmacy of New York, LLC
• Woodmark Services Inc
• Woodmark Services, Inc.
• Hannah Woodrich
• Tanya Lavonne Woods, RN

• Long Term Care Pharmacy in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.