Active NPI
Jonathan Ryan Woods, PHARMD., RPH.
- Pharmacist
- Grundy, VA
National Provider Identifier
1306974456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206569
- Practice address
- RR 5 Box 20
Grundy, VA 24614-9611 - Phone
- (276) 935-8718
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 0202206569 | VA | Primary |
Addresses
Primary practice location
RR 5 Box 20
Grundy, VA 24614-9611
Mailing address
PO Box 458
Rosedale, VA 24280-0458
Phone (276) 880-9295
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206569 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306974456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 458",
"city": "ROSEDALE",
"state": "VA",
"postal_code": "242800458",
"telephone_number": "276-880-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 5 BOX 20",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246149611",
"telephone_number": "276-935-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JONATHAN",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHARMD., RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.