Active NPI
Martin Shea Woodrome
- Pharmacist
- Louisville, KY
National Provider Identifier
1174908693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017944
- Practice address
- 9801 Brownsboro Rd
Louisville, KY 40241-1125 - Phone
- (502) 327-7342
- NPI assigned
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 017944 | KY | Primary |
Addresses
Primary practice location
9801 Brownsboro Rd
Louisville, KY 40241-1125
Mailing address
4214 Macgregor PL
New Albany, IN 47150-9688
Phone (812) 989-4053
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Louisville, KY
- NPI 1114933504
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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 |
|---|---|---|---|
| 017944 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1174908693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 MACGREGOR PL",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509688",
"telephone_number": "812-989-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 BROWNSBORO RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402411125",
"telephone_number": "502-327-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODROME",
"first_name": "MARTIN",
"middle_name": "SHEA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "017944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.