Active NPI
David B Woods, PD
- Pharmacist
- Russellville, AR
National Provider Identifier
1811069446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5600
- Practice address
- 1808 W Main St
Smrmc Pharmacy Department
Russellville, AR 72801-2724 - Phone
- (479) 964-9164
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 5600 | AR | Primary |
Addresses
Primary practice location
1808 W Main St
Smrmc Pharmacy Department
Russellville, AR 72801-2724
Mailing address
789 Wakerobin Rd
Russellville, AR 72802-8143
Phone (479) 490-4674
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5600 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811069446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 WAKEROBIN RD",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728028143",
"telephone_number": "479-490-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 W MAIN ST",
"address_2": "SMRMC PHARMACY DEPARTMENT",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"telephone_number": "479-964-9164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DAVID",
"middle_name": "B",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "5600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.