Organization Active NPI

Woodson's Pharmacy, Inc.

  • Pharmacy
  • Woodbury, TN
National Provider Identifier
1811964190
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
C1209 Issued in TN
Legal business name
WOODSON'S PHARMACY, INC.
Practice address
304 W Main St
Woodbury, TN 37190-1125
Phone
(615) 563-4542
Fax
(615) 563-2845
NPI assigned
Mar 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mr. Joseph Thomas Woodson III, PHARM DNPI 1356499503
Title
Pharmacist Owner
Phone
(615) 563-4542

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
Pharmacy 333600000X C1209 TN Primary

Addresses

Primary practice location

304 W Main St
Woodbury, TN 37190-1125

Mailing address

304 W Main St
Woodbury, TN 37190-1125
Phone (615) 563-4542

Other identifiers 1

IdentifierTypeStateIssuer
9440040MedicaidTN

National Provider Directory

National Provider Directory

Locations

304 W Main St
Woodbury, TN 37190
Phone (615) 563-4542

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1811964190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W MAIN ST",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901125",
            "telephone_number": "615-563-4542",
            "fax_number": "615-563-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MAIN ST",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901125",
            "telephone_number": "615-563-4542",
            "fax_number": "615-563-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSON'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-04",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST  OWNER",
        "authorized_official_telephone_number": "615-563-4542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "C1209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9440040",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.