Woodward CJS Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WOODWARD CJS PHARMACY INC

Practice address

901 E Edwardsville Rd
Wood River, IL 62095-1823

Phone

(618) 259-0085

Fax

(618) 259-0089

NPI assigned

May 7, 2018

Organization subpart

Yes

Parent organization

WOODWARD - CJS PHARMACY, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill WoodwardNPI 1255609517

Title

Owner/Pic

Phone

(618) 259-0085

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 3

• LONG TERM CARE ONLY THE MEDICINE SHOPPE #62 Doing business as
• LONG TERM CARE THE MEDICINE SHOPPE Doing business as
• LONG TERM CARE THE MEDICINE SHOPPE #62 Doing business as

Part of

Woodward CJS Pharmacy Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Woodward - CJS Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Wood River, IL
  • NPI 1396759445
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Woodward, PHARMD

  • Pharmacist
  • Wood River, IL
  • NPI 1255609517
  NPD Authorized official
• Michael Cleary, RPH

  • Pharmacist
  • Wood River, IL
  • NPI 1205104502
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1437648342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951823",
            "telephone_number": "618-259-0085",
            "fax_number": "618-259-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951823",
            "telephone_number": "618-259-0085",
            "fax_number": "618-259-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD CJS PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODWARD - CJS PHARMACY, INC.",
        "enumeration_date": "2018-05-07",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "618-259-0085"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054015916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG TERM CARE ONLY THE MEDICINE SHOPPE #62",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LONG TERM CARE THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LONG TERM CARE THE MEDICINE SHOPPE #62",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wood River NH LLC
• Wood River Retirement Center, Inc
• Wood River Urgent Care and Walk in Clinic Inc
• Nickole Woods
• Woodward - CJS Pharmacy, Inc.
• Jill Woodward, PHARMD
• Brandon Yeager, DMD

• Pharmacy in Wood River, IL
• Providers in Wood River, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.