Jarryl M. Wolford, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

002576 Issued in WV

Practice address

504 Pocahontas St
Mt Lake Park, MD 21550-2804

Phone

(301) 334-9521

NPI assigned

May 18, 2007

Last updated

Mar 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Friendsville Pharmacy Uphold LLC

  dba Friendsville Pharmacy

  • Pharmacy
  • Friendsville, MD
  • NPI 1023007275
  NPD (past)
• Friendsville Pharmacy Uphold LLC

  • Long Term Care Pharmacy
  • Friendsville, MD
  • NPI 1114741048
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1447468889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "FRIENDSVILLE",
            "state": "MD",
            "postal_code": "215310127",
            "telephone_number": "301-746-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 POCAHONTAS ST",
            "city": "MT LAKE PARK",
            "state": "MD",
            "postal_code": "215502804",
            "telephone_number": "301-334-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "JARRYL",
        "middle_name": "M.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "006773",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "025722",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "002576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Rehab, Inc.
• Ronel R. Williams, D.C.

• Pharmacist in Mt Lake Park, MD
• Providers in Mt Lake Park, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.