Active NPI
Gregory John Wood, RPH
- Pharmacist
- Stow, OH
National Provider Identifier
1366722597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03310560
- Practice address
- 4302 Allen Rd
Suite 300
Stow, OH 44224-1070 - Phone
- (330) 945-7246
- NPI assigned
- Aug 19, 2011
- Last updated
- Aug 19, 2011
- 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 | 03310560 | OH | Primary |
Addresses
Primary practice location
4302 Allen Rd
Suite 300
Stow, OH 44224-1070
Mailing address
4302 Allen Road
Suite 300
Stow, OH 44244
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03310560 | OH | MD | Pharmacist |
Organizations & group practices 1
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": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1366722597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 ALLEN ROAD",
"address_2": "SUITE 300",
"city": "STOW",
"state": "OH",
"postal_code": "44244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 ALLEN RD",
"address_2": "SUITE 300",
"city": "STOW",
"state": "OH",
"postal_code": "442241070",
"telephone_number": "330-945-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03310560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.