Active NPI
Woodman Pharmacy
- Community/Retail Pharmacy
- Dayton, OH
National Provider Identifier
1831235902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02-949800
- Legal business name
- WOODMAN PHARMACY
- Practice address
- 1010 Woodman Dr
Dayton, OH 45432-1400 - Phone
- (937) 252-9100
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paschal Okafor, RPH
- Title
- Registered Pharmacist
- Phone
- (937) 252-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 02-949800 | OH | Primary |
Addresses
Primary practice location
1010 Woodman Dr
Dayton, OH 45432-1400
Mailing address
1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 252-9100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02-949800 | Other | OH | ST LICENSE |
| 0285749 | Medicaid | OH | |
| 57-186486 | Other | OH | STATE TX |
| 31-14694552 | Other | OH | FED TX |
| 3662803 | Other | OH | NABP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831235902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321400",
"telephone_number": "937-252-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321400",
"telephone_number": "937-252-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODMAN PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OKAFOR",
"authorized_official_first_name": "PASCHAL",
"authorized_official_title_or_position": "REGISTERED PHARMACIST",
"authorized_official_telephone_number": "937-252-9100",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "02-949800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST LICENSE",
"identifier": "02-949800",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0285749",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE TX",
"identifier": "57-186486",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TX",
"identifier": "31-14694552",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3662803",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.