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WOODARD DRUG STORE LLC
NPI 1003384652
Pharmacy - Community/Retail Pharmacy in Princeton, NC

Active since November 12, 2018CLIA 34D2329206 · Waiver
102 E EDWARDS ST, PRINCETON, NC 27569(919) 936-3151(919) 936-3015 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2022, Sep 9, 2020, Nov 12, 2018 (3 updates tracked since 2018).

About Woodard Drug Store Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODARD DRUG STORE LLC (NPI 1003384652) is a healthcare organization registered as a community/retail pharmacy in Princeton, North Carolina and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists William Henry Crocker, Owner, as its authorized official.

NPPES Registry Identity

NPI1003384652
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWOODARD DRUG STORE LLC
Location Address102 E EDWARDS STPrinceton, NC 27569-7279
Mailing AddressPo Box 5Princeton, NC 27569-0005 · (919) 936-3151 · Fax (919) 936-3015
Phone(919) 936-3151
Fax(919) 936-3015
Organization SubpartNo
Authorized OfficialWilliam Henry CrockerOwner · (919) 936-3151
Enumeration DateNovember 12, 2018
Last NPPES UpdateOctober 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1003384652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
102 E EDWARDS ST, Princeton, NC 27569
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Other Identifiers 1

Medicaid1003384652NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2329206

C And M Health, Inc Dba Woodard Drug Store · Princeton, NC
Active · expires Aug 24, 2027
CLIA Number34D2329206
Laboratory TypePharmacy
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorMitchell J. Lequire
Laboratory Phone(919) 936-3151
Laboratory LocationC And M Health, Inc Dba Woodard Drug Store102 E Edwards St, Princeton, NC 27569
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA SHIRLEY HOBBS RPH.
Pharmacist
102 E EDWARDS ST
PRINCETON, NC 27569
Johnston County (919) 936-3151
MRS. HANNAH SMITH BROCK RPH
Pharmacist
102 E EDWARDS ST
PRINCETON, NC 27569
Johnston County (919) 936-3151
JACOB GENE DAWSON RPH
Pharmacist
102 E EDWARDS ST
PRINCETON, NC 27569
Johnston County (919) 936-3151
C AND M HEALTH INC
Pharmacy (Community/Retail Pharmacy)
102 E EDWARDS ST
PRINCETON, NC 27569
Johnston County (919) 936-3151
WOODARD DRUG STORE INC
Pharmacy
102 E EDWARDS ST
PRINCETON, NC 27569
Johnston County (919) 936-3151
WOODARD DRUG STORE INC
Pharmacy (Community/Retail Pharmacy)
102 E EDWARDS ST
PRINCETON, NC 27569
Johnston County (919) 936-3151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodard Drug Store LLC's NPI number?

The NPI number for Woodard Drug Store LLC is 1003384652. It was assigned to this organization in the NPPES registry on November 12, 2018.

Where is Woodard Drug Store LLC located?

Woodard Drug Store LLC is located at 102 E Edwards St, Princeton, NC 27569. The listed phone number is (919) 936-3151.

What is Woodard Drug Store LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Woodard Drug Store LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2329206) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodard Drug Store LLC accept?

Health plans from Moda Health Plan, Inc. list Woodard Drug Store LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Woodard Drug Store LLC was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.