Active NPI
State of Iowa Services Woodward
- Long Term Care Pharmacy
- Woodward, IA
National Provider Identifier
1851639793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 944
- Legal business name
- STATE OF IOWA SERVICES WOODWARD
- Doing business as
- Woodward Resource Center
- Practice address
- 1251 3334TH St
Woodward, IA 50276 - Phone
- (515) 438-3280
- Fax
- (515) 438-3623
- NPI assigned
- Jan 28, 2013
- 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
- Sherill Phillips
- Title
- Pharmacist
- Phone
- (515) 438-3280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 944 | IA | Primary |
Addresses
Primary practice location
1251 3334TH St
Woodward, IA 50276
Mailing address
1251 3334TH St
Woodward, IA 50276
Phone (515) 438-3280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624445 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Woodward Resource Center
National Provider Directory
National Provider Directory- Tax ID family
- Woodward Resource Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Woodward, IA
- NPI 1487786281
-
- Intellectual Disabilities Intermediate Care Facility
- Woodward, IA
- NPI 1710018684
-
- Long Term Care Pharmacy
- Woodward, IA
- NPI 1295867091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1851639793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 3334TH ST",
"city": "WOODWARD",
"state": "IA",
"postal_code": "50276",
"telephone_number": "515-438-3280",
"fax_number": "515-438-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 3334TH ST",
"city": "WOODWARD",
"state": "IA",
"postal_code": "50276",
"telephone_number": "515-438-3280",
"fax_number": "515-438-3623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF IOWA SERVICES WOODWARD",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SHERILL",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "515-438-3280"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "IA",
"license": "944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1624445",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodward Resource Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodward, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.