WOODY WEAVER PHARMACY INC
NPI 1033109053
Pharmacy - Community/Retail Pharmacy in Tyler, TX

Active since October 21, 2005
2726 W GENTRY PKWY, TYLER, TX 75702(903) 593-2533(903) 593-2555 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, Nov 15, 2023 (2 updates tracked since 2023).

About Woody Weaver Pharmacy Inc NPPES

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

WOODY WEAVER PHARMACY INC (NPI 1033109053), doing business as Woody Weaver Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Tyler, Texas and active in the NPI registry since October 2005. The organization lists Jackie Lynn Weaver, Owner, as its authorized official.

NPPES Registry Identity

NPI1033109053
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWOODY WEAVER PHARMACY INC
Location Address2726 W GENTRY PKWYTyler, TX 75702-1635
Mailing Address2726 W Gentry PkwyTyler, TX 75702-1635 · (903) 593-2533 · Fax (903) 593-2555
Fax(903) 593-2555
Organization SubpartNo
Authorized OfficialJackie Lynn WeaverOwner · (903) 593-2533
Enumeration DateOctober 21, 2005
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1033109053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TX · 1947
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.
2726 W GENTRY PKWY, Tyler, TX 75702

Other Names 1

Doing Business AsWoody Weaver Pharmacy

Other Identifiers 2

Other2096287Pk
Medicaid130525TX

Accepted Insurance

Other Providers at the Same Location NPPES

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

Chiropractor
2726 W GENTRY PKWY
TYLER, TX 75702

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 Woody Weaver Pharmacy Inc's NPI number?

The NPI number for Woody Weaver Pharmacy Inc is 1033109053. It was assigned to this organization in the NPPES registry on October 21, 2005. The provider is doing business as Woody Weaver Pharmacy.

Where is Woody Weaver Pharmacy Inc located?

Woody Weaver Pharmacy Inc is located at 2726 W Gentry Pkwy, Tyler, TX 75702. The listed phone number is (903) 593-2533.

What is Woody Weaver Pharmacy Inc's specialty?

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

What insurance does Woody Weaver Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 54 other insurers list Woody Weaver Pharmacy Inc 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 Woody Weaver Pharmacy Inc was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.