WOODSONS PHARMACY (NPI# 1215001748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215001748 |
| Entity Type | Organization |
| Organization Name | WOODSONS PHARMACY |
| Practice Address |
3902 Nw Cache Rd Lawton OK 73505-3734 |
| Practice Telephone | 5803553164 |
| Practice Fax Number | 5805856524 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY WOODSON (OWNER) |
| Authorized Official Telephone | 5803553164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 333600000X | Pharmacy | 34445 | OK | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3718509 | 01 |
| Street Address |
3902 NW CACHE RD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669551057 | Gary Woodson | Pharmacist | 3902 Nw Cache Rd, Lawton, OK 73505-3734 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154725893 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3745 Sw Lee Blvd, Lawton, OK 73505-8322 | 2014-10-09 |
| 1861891350 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2107 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-08-20 |
| 1982030904 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 802 Nw Sheridan Rd, Lawton, OK 73505-5204 | 2013-09-23 |
| 1417232240 | Cal's Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 321 Sw 71st St, Lawton, OK 73505-6618 | 2011-10-12 |
| 1578607313 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 1226 Nw Sheridan Rd, Lawton, OK 73505-5210 | 2007-02-16 |
| 1619033982 | Buy for Less Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 205 Sw Sheridan Rd, Lawton, OK 73505-1518 | 2006-12-29 |
| 1912003062 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 28 Sw E Ave, Lawton, OK 73501-4627 | 2006-09-16 |
| 1679677405 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1016 Sw Lee Blvd, Lawton, OK 73501-5721 | 2006-09-12 |
| 1144333089 | Kingdom Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1824 Nw 52nd St, Lawton, OK 73505-3122 | 2006-08-16 |
| 1427063494 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 701 Nw Sheridan Rd, Lawton, OK 73505-5202 | 2006-07-29 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on WOODSONS PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.