Kevin Joseph Woody
Individual provider Active NPI Pharmacist · Clermont, GA
NPI 1992394142 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1992394142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH018454 (GA)
- Practice address
- 5226 Dahlonega Hwy
Clermont, GA 30527-1946 - Phone
- (770) 983-3510
- Fax
- (770) 983-7986
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH018454 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woody'S Pharmacy, Inc. | Pharmacist | Current |
Accepting new patients |
| Woodys Longbranch Pharmacy Inc | Current | Accepting new patients | |
| Woodys Longbranch Pharmacy Inc | Current | Accepting new patients |
Locations
5226 Dahlonega Hwy
Clermont, GA 30527
Phone (770) 983-3510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH018454 | GA | Yes |
Addresses
Primary practice location
5226 Dahlonega Hwy
Clermont, GA 30527-1946
Mailing address
PO Box 439
Clermont, GA 30527-0439
Phone (770) 983-3510
Other providers in Clermont, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.