Dogwood Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DOGWOOD PHARMACY LLC

Practice address

205 S Magnolia St
Woodville, TX 75979-5234

Phone

(409) 283-7509

Fax

(409) 283-7395

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Jeffrey Scott Terry, RPH

Title

Sole Owner

Phone

(409) 283-7509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1811523657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAGNOLIA ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759795234",
            "telephone_number": "409-283-7509",
            "fax_number": "409-283-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAGNOLIA ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759795234",
            "telephone_number": "409-283-7509",
            "fax_number": "409-283-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "409-283-7509",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Lajean Denson, M.D.
• Ellis Rodney Derouen, R.PH
• Lisa Ann Dickey, C.O.T.A.
• Dmctx1, PLLC
• Dogwood Pharmacy LLC
• Doucette Branch Inpatient Services PLLC
• Bukola Durojaiye
• East Texas Family Healthcare PLLC
• Nicole M Ellison, M.D.
• Emergency Physicians of West Bluff PLLC

• All providers in Woodville, TX
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.