Active NPI
Mandi Linn Woodruff, PHARMD
- Pharmacist
- Centreville, AL
National Provider Identifier
1205456886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21112
- Practice address
- 405 Belcher St
Centreville, AL 35042-2946 - Phone
- (205) 206-5733
- NPI assigned
- Apr 23, 2020
- Last updated
- Feb 29, 2024
- Sex
- Female
- 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 | 21112 | AL | Primary |
Addresses
Primary practice location
405 Belcher St
Centreville, AL 35042-2946
Mailing address
116 Holly LN
Centreville, AL 35042-2047
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 |
|---|---|---|---|
| 21112 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy LLC | Past | Accepting new patients | |
| Alabama CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1205456886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 HOLLY LN",
"city": "CENTREVILLE",
"state": "AL",
"postal_code": "350422047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BELCHER ST",
"city": "CENTREVILLE",
"state": "AL",
"postal_code": "350422946",
"telephone_number": "205-206-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "MANDI",
"middle_name": "LINN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.