Waco Ocd Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WACO OCD INC

Doing business as

Old Corner Drug Waco

Practice address

6612 W Highway 84
Woodway, TX 76712-6143

Phone

(254) 300-5590

Fax

(254) 300-5591

NPI assigned

Aug 2, 2021

Last updated

May 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Williams

Title

Owner Vice President

Phone

(254) 300-5590

Specialties & licenses 2

Addresses

Other names 1

• Old Corner Drug Waco Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Old Corner Drug Waco2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Waco Ocd Inc

  • Long Term Care Pharmacy
  • Woodway, TX
  • NPI 1215857115
  NPD tax ID

Locations

Practitioners 2

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.

• Randy James Niemeyer, PHARMD

  • Pharmacist
  • West, TX
  • NPI 1417274705
  NPD
• Hannah Faith Ramirez, PHARM.D.

  • Pharmacist
  • Waco, TX
  • NPI 1952826117
  NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1922772193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155293",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767155293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 W HIGHWAY 84",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126143",
            "telephone_number": "254-300-5590",
            "fax_number": "254-300-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO OCD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER VICE PRESIDENT",
        "authorized_official_telephone_number": "254-300-5590"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Corner Drug Waco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Old Corner Drug Waco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruben James Venegas
• Vesper Medical Care PLLC
• Evangelina Vicencio
• Waco Integrated Medical PLLC
• Waco Ocd Inc
• Kenneth B Waite, D.O.
• Walgreen Co (Walgreens #09648)
• Walgreens
• Dalton Garrett Walker, PA-C
• Jennifer Anne Wallace, LPC

• Pharmacy in Woodway, TX
• Providers in Woodway, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.