Active NPI
Allister Keith Woodman, RPH
- Pharmacist
- Wilmington, NC
National Provider Identifier
1760764757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16099
- Practice address
- 3302 Market St
Wilmington, NC 28403-1320 - Phone
- (910) 772-0686
- NPI assigned
- Sep 15, 2011
- 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 | 16099 | NC | Primary |
Addresses
Primary practice location
3302 Market St
Wilmington, NC 28403-1320
Mailing address
3302 Market St
Wilmington, NC 28403-1320
Phone (910) 772-0686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0656308 | Medicaid | NC |
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Southern Pines, NC
- NPI 1538999107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1760764757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031320",
"telephone_number": "910-772-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031320",
"telephone_number": "910-772-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODMAN",
"first_name": "ALLISTER",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0656308",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.