WOODARD DRUG STORE INC (NPI# 1932207800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932207800 |
| Entity Type | Organization |
| Organization Name | WOODARD DRUG STORE INC |
| Other Organization Name | WOODARD DRUG STORE INC |
| Practice Address |
102 E Edwards St Princeton NC 27569-7279 |
| Mailing Address |
Po Box 5 Princeton NC 27569-0005 |
| Practice Telephone | 9199363151 |
| Practice Fax Number | 9199363015 |
| Mailing Telephone | 9199363151 |
| Mailing Fax Number | 9199363015 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | WANDA CROCKER (PRESIDENT) |
| Authorized Official Telephone | 9199363151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
07097 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0515098 | 05 | |
| PK | 2066643 | 01 |
| Other Name | Type Code |
|---|---|
| WOODARD DRUG STORE INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821525908 | Woodard Drug Store Inc | Pharmacy | 102 E Edwards St, Princeton, NC 27569-7279 | 2017-05-19 |
| Street Address |
102 E EDWARDS ST |
| City | PRINCETON |
| State | NC |
| Zip Code | 27569-7279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003384652 | Woodard Drug Store LLC | Pharmacy | 102 E Edwards St, Princeton, NC 27569-7279 | 2018-11-12 |
| 1821525908 | Woodard Drug Store Inc | Pharmacy | 102 E Edwards St, Princeton, NC 27569-7279 | 2017-05-19 |
| 1568999803 | Wanda Lee Crocker | Pharmacist | 102 E Edwards St, Princeton, NC 27569-7279 | 2017-05-17 |
| 1114257888 | Tina Shirley Hobbs | Pharmacist | 102 E Edwards St, Princeton, NC 27569-7279 | 2010-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518695 | Rayfield Dave Harper | Technician | 410 W 3rd St Apt #4, Princeton, NC 27569 | 2019-09-20 |
| 1093142242 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 927 School Shepard Road, Zebulon, NC 27569 | 2013-10-02 |
| 1093158404 | Eyestat Optometric Services, P.a. | Optometrist | 720 Pondfield Rd, Princeton, NC 27569 | 2013-04-16 |
| 1407080229 | Valeria Malone Jones | Specialist | 116 S. Center St., Princeton, NC 27569 | 2009-05-07 |
| 1215022322 | Robert L Williamson IIi Dds Pa | Dentist | 104 Center Street, Princeton, NC 27569 | 2006-10-04 |
| 1306859715 | Reyna Lee Faris | Dental Hygienist | 104 Center St, Princeton, NC 27569 | 2006-08-15 |
| 1639112733 | Princeton Rescue Squad | Ambulance | 501 West Us 70 Bus, Princeton, NC 27569 | 2006-06-14 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1346374303 | Joseph Edward Finley Jr. | Speech-Language Pathologist | 105 Bridge Dr, Princeton, NC 27569-7073 | 2007-03-14 |
| 1396707592 | Kira Leith Vurlicer | Family Medicine | 213 Barden St, Princeton, NC 27569-7206 | 2006-04-04 |
| Find all providers in zip 27569 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1699112284 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr # A, Princeton, TX 75407-9607 | 2013-05-23 |
| 1235576877 | Thirumala Group LLC | Pharmacy | 201 E Princeton Dr, Princeton, TX 75407-9005 | 2013-05-22 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1043554504 | Walmart Inc. | Pharmacy | 300 21st Ave N, Princeton, MN 55371-6271 | 2012-11-21 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1396959938 | Princeton Pharmacy, Inc | Pharmacy | 610 N Main Street, Princeton, IL 61356-2006 | 2007-05-10 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1912099516 | New Jersey Cvs Pharmacy LLC | Pharmacy | 881 State Rd # 206, Princeton, NJ 08540-1436 | 2006-09-29 |
| 1366533796 | Hobert Drugs Inc | Pharmacy | 115 N Rum River Dr, Princeton, MN 55371-1616 | 2006-09-28 |
| Find all providers in PRINCETON | ||||
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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.