Active NPI
Tara Lee Wood, PHARMD, RPH
- Pharmacist
- Boscobel, WI
National Provider Identifier
1063682508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13988
- Practice address
- 205 Parker St
Boscobel, WI 53805-1642 - Phone
- (608) 375-6307
- Fax
- (608) 375-6198
- NPI assigned
- Mar 11, 2008
- Last updated
- Nov 27, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13988 | WI | Primary |
Addresses
Primary practice location
205 Parker St
Boscobel, WI 53805-1642
Mailing address
205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-6307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33051200 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlwood@gundersenhealth.org | Direct | MEMORIAL HOSPITAL OF BOSCOBEL |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13988 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1063682508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PARKER ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051642",
"telephone_number": "608-375-6307",
"fax_number": "608-375-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PARKER ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051642",
"telephone_number": "608-375-6307",
"fax_number": "608-375-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "TARA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2023-11-27",
"certification_date": "2020-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33051200",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlwood@gundersenhealth.org",
"affiliation": "Y",
"endpointDescription": "e-mail",
"affiliationName": "MEMORIAL HOSPITAL OF BOSCOBEL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "205 Parker St",
"city": "Boscobel",
"state": "WI",
"country_code": "US",
"postal_code": "538051642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boscobel, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.