Active NPI
Bryan Richard Wood, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Jamaica Plain, MA
National Provider Identifier
1306890686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 25883
- Practice address
- 150 S Huntington Ave
Jamaica Plain, MA 02130-4817 - Phone
- (857) 203-5213
- Fax
- (857) 203-5780
- NPI assigned
- May 20, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 25883 | MA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 25883 | MA | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | 25883 | MA |
Addresses
Primary practice location
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Mailing address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Phone (857) 203-5213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25883 | Other | DPH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1306890686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "857-203-5213",
"fax_number": "857-203-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "857-203-5213",
"fax_number": "857-203-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "BRYAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MA",
"license": "25883",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "25883",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MA",
"license": "25883",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPH",
"identifier": "25883",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.