Active NPI
Kristin Marie Woomer, PHARM. D., RPH
- Pharmacist
- Grants Pass, OR
National Provider Identifier
1396386793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0017521
- Practice address
- 1690 SW Allen Creek Rd
Grants Pass, OR 97527-5559 - Phone
- (541) 471-9043
- Fax
- (541) 471-9047
- NPI assigned
- Oct 7, 2019
- Last updated
- Oct 7, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0017521 | OR | Primary |
Addresses
Primary practice location
1690 SW Allen Creek Rd
Grants Pass, OR 97527-5559
Mailing address
2513 Corona Ave Apt D
Medford, OR 97504-5904
Phone (541) 252-6846
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 |
|---|---|---|---|
| RPH-0017521 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1396386793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 CORONA AVE APT D",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045904",
"telephone_number": "541-252-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 SW ALLEN CREEK RD",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275559",
"telephone_number": "541-471-9043",
"fax_number": "541-471-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOMER",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM. D., RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.