Active NPI
Alexander Fred Wood, PHARM.D.
- Geriatric Pharmacist
- Chesterfield, MO
National Provider Identifier
1003531369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 2011023711
- Practice address
- 14805 N Outer 40 Rd
Chesterfield, MO 63017-6021 - Phone
- (636) 733-7333
- NPI assigned
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 2011023711 | MO | Primary |
Addresses
Primary practice location
14805 N Outer 40 Rd
Chesterfield, MO 63017-6021
Mailing address
711 Henry Ave
Ballwin, MO 63011-2736
Phone (913) 220-9521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011023711 | MO | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1003531369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 HENRY AVE",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112736",
"telephone_number": "913-220-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14805 N OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630176021",
"telephone_number": "636-733-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ALEXANDER",
"middle_name": "FRED",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MO",
"license": "2011023711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.