Woodys Downtown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WOODYS DOWNTOWN PHARMACY LLC

Practice address

406 E Main St
Dahlonega, GA 30533-0529

Phone

(706) 867-3784

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Joseph Woody, RPH

Title

Owner/President

Phone

(678) 316-3031

Specialties & licenses 1

Addresses

Other names 1

• WOODYS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1982374260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330007",
            "telephone_number": "706-867-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E MAIN ST",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330529",
            "telephone_number": "706-867-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODYS DOWNTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "678-316-3031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jean Wiley, PT
• Gregory Eric Williams, PA-C
• Ronald Edmond Williams I, DMD
• Stacy L Wolff, LCSW
• Paul C Woody, DO
• Woodys Longbranch Pharmacy Inc
• Woodys Longbranch Pharmacy Inc
• Susan Yoshimizu, PT
• Maria Antonieta Zayas, ED.D.

• Community/Retail Pharmacy in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.