Individual provider Active NPI

Amy Kathleen Woolley-Ardestani, PHARMD

  • Pharmacist
  • Rockville, MD
National Provider Identifier
1033821095
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19255 Issued in MD
Practice address
13505 Glen Mill Rd
Rockville, MD 20850-3645
Phone
(240) 277-1192
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19255 MD Primary

Addresses

Primary practice location

13505 Glen Mill Rd
Rockville, MD 20850-3645

Mailing address

740 W Peachtree St NW
Atlanta, GA 30308-1199
Phone (866) 787-6341

Other names 1

  • Kathleen Woolley Professional name

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

LicenseStateTypeSpecialty
19255MDMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1033821095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081199",
            "telephone_number": "866-787-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 GLEN MILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503645",
            "telephone_number": "240-277-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY-ARDESTANI",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WOOLLEY",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.