Active NPI
Ruth Ann Woolson
- Pharmacist
- Keokuk, IA
National Provider Identifier
1093372856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20021
- Practice address
- 300 N Park Dr
Keokuk, IA 52632-2200 - Phone
- (319) 524-4071
- Fax
- (319) 524-4073
- NPI assigned
- May 28, 2019
- 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 | 20021 | IA | Primary |
Addresses
Primary practice location
300 N Park Dr
Keokuk, IA 52632-2200
Mailing address
710 Liberty Dr
Warsaw, IL 62379-1533
Phone (217) 242-8960
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20021 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1093372856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LIBERTY DR",
"city": "WARSAW",
"state": "IL",
"postal_code": "623791533",
"telephone_number": "217-242-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N PARK DR",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322200",
"telephone_number": "319-524-4071",
"fax_number": "319-524-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLSON",
"first_name": "RUTH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IA",
"license": "20021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.