NPI age
20 years
Enumerated 2005-10-21
● Active Type 2 · Organization
Woody Weaver Pharmacy Inc
Woody Weaver Pharmacy Inc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Weaver
Owner
Last NPPES update
2025-06-03
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
2726 W Gentry Pkwy
Tyler, TX 757021635
Mailing address
2726 W Gentry Pkwy
Tyler, TX 757021635
Authorized official
Jackie Lynn Weaver, PHARM D
Owner
📞 9035932533
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jackie Weaver, DC, PHARM D Chiropractor NPI 1720072523
Specialties
-
Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2096287 | PK |
| 05 (TX) | 130525 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WOODY WEAVER PHARMACY
-
WOODY WEAVER PHARMACY
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.