OrganizationActive
Woody Weaver Pharmacy Inc
NPI 1033109053 · Community/Retail Pharmacy · Tyler, TX
Woody Weaver Pharmacy Inc is a Community/Retail Pharmacy organization in Tyler, TX (NPI 1033109053).
Provider details
- NPI number
- 1033109053
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jackie Weaver, Owner(903) 593-2533
- License
- 1947 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2726 W Gentry Pkwy
Tyler, TX 75702-1635
Phone: (903) 593-2533
Fax: (903) 593-2555
Street-level locationGet directions
Mailing address
2726 W Gentry Pkwy
Tyler, TX 75702-1635
Other names (DBA / former)
- Doing business as
- Woody Weaver Pharmacy
- Doing business as
- Woody Weaver Pharmacy
Registry dates
- Enumerated
- 2005-10-21
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Frequently asked questions
- What is Woody Weaver Pharmacy Inc's NPI number?
- Woody Weaver Pharmacy Inc's National Provider Identifier (NPI) is 1033109053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woody Weaver Pharmacy Inc?
- Woody Weaver Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Woody Weaver Pharmacy Inc located?
- Woody Weaver Pharmacy Inc's practice location on file with NPPES is 2726 W Gentry Pkwy, Tyler, TX 75702-1635.
- What is Woody Weaver Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Woody Weaver Pharmacy Inc is (903) 593-2533.
- Who is the authorized official for Woody Weaver Pharmacy Inc?
- The authorized official listed on Woody Weaver Pharmacy Inc's NPPES record is Jackie Weaver, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woody Weaver Pharmacy Inc's NPI active?
- Yes — Woody Weaver Pharmacy Inc's NPI (1033109053) is active in the NPPES registry as of the last update on 2025-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.