GARY TIBBETT WOODSON (NPI# 1821309758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821309758 |
| Entity Type | Individual |
| Full Name | GARY TIBBETT WOODSON |
| Credential | R.PH. |
| Practice Address |
22 Lozeau Ln Superior MT 59872-9622 |
| Mailing Address |
22 Lozeau Lane Superior MT 59872 |
| Practice Telephone | 4068223859 |
| Mailing Telephone | 4068223859 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4579 | OR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 3871 | MT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669551057 | Gary Woodson | Pharmacist | 3902 Nw Cache Rd, Lawton, OK 73505-3734 | 2006-11-04 |
| Street Address |
22 LOZEAU LN |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990354 | Kenzie Hohman | Pharmacist | 3500 Tower Ave Ste B, Superior, WI 54880-4685 | 2019-06-12 |
| 1144720319 | Michael Joseph Hillmeyer | Pharmacist | 3500 Tower Ave Ste C, Superior, WI 54880-4685 | 2018-02-14 |
| 1548635659 | Christopher Perkins | Pharmacist | 1995 E Coalton Rd Apt 4-101, Superior, CO 80027-4465 | 2015-12-01 |
| 1831521822 | Susan Jane Seward | Pharmacist | 2031 Dailey Ln, Superior, CO 80027-8106 | 2013-08-01 |
| 1326304981 | Jennifer J. Ellison | Pharmacist | 3015 Tower Ave, Superior, WI 54880-5324 | 2012-04-09 |
| 1538435078 | Renee Marie Toner | Pharmacist | 1601 Coalton Road, Superior, CO 80027 | 2012-03-29 |
| 1083981187 | Cara Bufkin | Pharmacist | 773 Maroon Peak Cir, Superior, CO 80027-6103 | 2011-11-17 |
| 1932419470 | Mi-sook Lee | Pharmacist | 2300 Andrew Dr, Superior, CO 80027 | 2010-10-18 |
| 1396068490 | Richard Donald Moe | Pharmacist | 2631 Tower Ave, Superior, WI 54880-4846 | 2010-03-04 |
| 1073111803 | Kathy Gore | Pharmacist | 3705 Tower Ave, Superior, WI 54880-5338 | 2020-10-14 |
| Find all providers in SUPERIOR | ||||
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| 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.