Active NPI
Kendra Woodruff, PHARMD
- Pharmacist
- Okemos, MI
National Provider Identifier
1265018352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302413144
- Practice address
- 5110 Times Square PL
Okemos, MI 48864-1161 - Phone
- (517) 381-5243
- NPI assigned
- Mar 20, 2021
- 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 | 5302413144 | MI | Primary |
Addresses
Primary practice location
5110 Times Square PL
Okemos, MI 48864-1161
Mailing address
2581 Mason LN
Holt, MI 48842-2137
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 |
|---|---|---|---|
| 5302413144 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1265018352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2581 MASON LN",
"city": "HOLT",
"state": "MI",
"postal_code": "488422137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 TIMES SQUARE PL",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641161",
"telephone_number": "517-381-5243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "KENDRA",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.