NPIMap

Organization Active NPI

Woodside Health Services LLC

  • Long Term Care Pharmacy
  • Valparaiso, IN
National Provider Identifier
1639897085
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WOODSIDE HEALTH SERVICES LLC
Doing business as
WOODSIDE LTC PHARMACY
Practice address
1551 Sturdy Rd
Valparaiso, IN 46383-7883
Phone
(219) 286-3091
Fax
(219) 510-5268
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Mohamed Refaat Ahmed Saleh, PHARM.D.NPI 1346836988
Title
Owner/Manager
Phone
(219) 286-3091

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1551 Sturdy Rd
Valparaiso, IN 46383-7883

Mailing address

1551 Sturdy Rd
Valparaiso, IN 46383-7883
Phone (219) 286-3091

Other names 1

  • WOODSIDE LTC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Woodside Health Services LLC2 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 1

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": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1639897085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837883",
            "telephone_number": "219-286-3091",
            "fax_number": "219-510-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837883",
            "telephone_number": "219-286-3091",
            "fax_number": "219-510-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED SALEH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "REFAAT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "219-286-3091",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODSIDE LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOODSIDE LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.