DR. AVERY CAMERON WOODALL (NPI# 1972104016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972104016 |
| Entity Type | Individual |
| Full Name | DR. AVERY CAMERON WOODALL |
| Credential | PHARM.D. |
| Practice Address |
1224 Huntsville Hwy Fayetteville TN 37334-3618 |
| Mailing Address |
2886 Al Highway 146 Scottsboro AL 35768-5311 |
| Practice Telephone | 9314330011 |
| Mailing Telephone | 2562444931 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 21534 | AL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 44259 | TN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2675 Decherd Blvd, Winchester, TN 373981166 | 9319670046 |
| Street Address |
1224 HUNTSVILLE HWY |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306863584 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1224 Huntsville Hwy, Fayetteville, TN 37334-3618 | 2006-07-16 |
| 1053962134 | Mallard Eye Care, LLC | Optometrist | 1224 Huntsville Hwy, Fayetteville, TN 37334-3618 | 2019-09-20 |
| 1336636992 | Lorelei B Corder | Pharmacist | 1224 Huntsville Hwy, Fayetteville, TN 37334-3618 | 2018-04-19 |
| 1760979868 | Paige Barnes | Pharmacist | 1224 Huntsville Hwy, Fayetteville, TN 37334-3618 | 2018-04-16 |
| 1487141479 | Christal Taylor | Pharmacist | 1224 Huntsville Hwy, Fayetteville, TN 37334-3618 | 2018-04-16 |
| 1326127705 | Robert Larry Perkins | Optometrist | 1224 Huntsville Hwy, Dr R Larry Perkins, Fayetteville, TN 37334 | 2006-11-04 |
| 1194807016 | Wal-mart Stores East, Lp | Technician/Technologist | 1224 Huntsville Hwy, Fayetteville, TN 37334-3618 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| 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 |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| 1891395901 | Todd Johnson | Pharmacist | 660 W Mlk Blvd, Fayetteville, AR 72701-6443 | 2020-10-28 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1548892268 | Kimberly Gardner | Pharmacist | 4205 Ferncreek Dr, Fayetteville, NC 28314-2537 | 2020-02-11 |
| 1326685249 | Belinda Diane Abrams | Pharmacist | 175 Jacob Ct, Fayetteville, GA 30214-7541 | 2019-12-10 |
| 1699332098 | Kyndra Williams | Pharmacist | 101 Robeson St Ste 101, Fayetteville, NC 28301-5552 | 2019-05-22 |
| 1235610098 | Debra W Nichol | Pharmacist | 217 W Maple Ave # 2, Fayetteville, WV 25840-1413 | 2018-08-28 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
Please comment or provide details below to improve the information on DR. AVERY CAMERON WOODALL.
| 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.