Active NPI
Robin Wooldridge, PHARM.D., BCPS
- Pharmacotherapy Pharmacist
- Lacey, WA
National Provider Identifier
1356709695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH 00014682
- Practice address
- 4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010 - Phone
- (360) 412-8983
- Fax
- (360) 412-8925
- NPI assigned
- Feb 1, 2016
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH 00014682 | WA | Primary |
Addresses
Primary practice location
4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010
Mailing address
4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010
Phone (360) 412-8983
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 |
|---|---|---|---|
| PH 00014682 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1356709695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE STE 200",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-412-8983",
"fax_number": "360-412-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE STE 200",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-412-8983",
"fax_number": "360-412-8925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLDRIDGE",
"first_name": "ROBIN",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH 00014682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.