Woody Weaver Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WOODY WEAVER PHARMACY

Practice address

2722 West Gentry Parkway
Tyler, TX 75702

Phone

(903) 593-2533

Fax

(903) 593-2555

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Woodrow Vernon Weaver, RPH

Title

Owner

Phone

(903) 593-2533

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Woody Weaver Pharmacy Inc2 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.

• Woody Weaver Pharmacy, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Jacksonville, TX
  • NPI 1497902381
  NPD tax ID

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629136460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 WEST GENTRY PARKWAY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75702",
            "telephone_number": "903-593-2533",
            "fax_number": "903-593-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 WEST GENTRY PARKWAY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75702",
            "telephone_number": "903-593-2533",
            "fax_number": "903-593-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODY WEAVER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-593-2533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130525",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4532936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Woods
• Nona Woods, PHYSICAL THERAPIST
• Veronica Woodson-Mell
• Jessica Woodson
• Rachel Michelle Woodward
• Woody Weaver Pharmacy Inc
• Summer N Woody
• Layton Montgomery Woolford, DO
• Julie Ann Woolverton, PT, DPT
• Cody Brandon Wooster, RN

• Pharmacy in Tyler, TX
• Providers in Tyler, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.