OLD CORNER DRUG WACO
NPI 1922772193
Pharmacy in Woodway, TX

Active since August 02, 2021CLIA 45D2261175 · Waiver
6612 W HIGHWAY 84, WOODWAY, TX 76712(254) 300-5590(254) 300-5591 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2022, Apr 14, 2022, Aug 2, 2021 (3 updates tracked since 2021).

About Old Corner Drug Waco NPPES

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

OLD CORNER DRUG WACO (NPI 1922772193) is a healthcare organization registered as a pharmacy in Woodway, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Jonathan Williams, Owner Vice President, as its authorized official.

NPPES Registry Identity

NPI1922772193
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWACO OCD INC
Location Address6612 W HIGHWAY 84Woodway, TX 76712-6143
Mailing AddressPo Box 155293Waco, TX 76715-5293
Fax(254) 300-5591
Organization SubpartNo
Authorized OfficialJonathan WilliamsOwner Vice President · (254) 300-5590
Enumeration DateAugust 2, 2021
Last NPPES UpdateMay 24, 20223 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
NPI 1922772193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
6612 W HIGHWAY 84, Woodway, TX 76712

Other Names 1

Doing Business AsOld Corner Drug Waco

Accepted 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 45D2261175

Old Corner Drug Waco · Woodway, TX
Active · expires May 25, 2028
CLIA Number45D2261175
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorHannah F. Ramirez
Laboratory Phone(254) 300-5590
Laboratory LocationOld Corner Drug Waco6612 Woodway Dr - Building A, Suite 1, Woodway, TX 76712
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
17 services17 patients

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 Waco Ocd Inc's NPI number?

The NPI number for Waco Ocd Inc is 1922772193. It was assigned to this organization in the NPPES registry on August 2, 2021. The provider is doing business as Old Corner Drug Waco.

Where is Waco Ocd Inc located?

Waco Ocd Inc is located at 6612 W Highway 84, Woodway, TX 76712. The listed phone number is (254) 300-5590.

What is Waco Ocd Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Waco Ocd Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2261175) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waco Ocd 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 55 other insurers list Waco Ocd 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 Waco Ocd Inc was last updated on May 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.