Active NPI
Angela Wood, PHARM.D., BCPS
- Pharmacist
- Robbinsdale, MN
National Provider Identifier
1417382003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 120161
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422 - Phone
- (763) 581-6331
- Fax
- (763) 581-6334
- NPI assigned
- Sep 13, 2013
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051295134 | IL | |
| Pharmacist | 183500000X | 120161 | MN | Primary |
| Pharmacist | 183500000X | 15571-40 | WI | |
| Pharmacist | 183500000X | 2013029805 | MO | |
| Pharmacist | 183500000X | 1-16039 | KS |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422
Mailing address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-6331
Other practice location 1
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone (816) 861-4700
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 |
|---|---|---|---|
| 051295134 | IL | MD | Pharmacist |
| 1-16039 | KS | MD | Pharmacist |
| 120161 | MN | MD | Pharmacist |
| 2013029805 | MO | MD | Pharmacist |
| 15571-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1417382003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222926",
"telephone_number": "763-581-6331",
"fax_number": "763-581-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-581-6331",
"fax_number": "763-581-6334"
}
],
"practiceLocations": [
{
"address_1": "4801 E Linwood Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641282226",
"country_code": "US",
"telephone_number": "816-861-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "ANGELA",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295134",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120161",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "15571-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013029805",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-16039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.