Edward Joseph Woodruff II, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

50056 Issued in TX

Practice address

9255 Grissom Rd
San Antonio, TX 78251-2805

Phone

(210) 680-2958

Fax

(210) 509-0338

NPI assigned

Mar 5, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Heb

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1780552182
  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1447591169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 GRISSOM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512805",
            "telephone_number": "210-680-2958",
            "fax_number": "210-509-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 GRISSOM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512805",
            "telephone_number": "210-680-2958",
            "fax_number": "210-509-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_suffix": "II",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE #",
            "identifier": "50056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodlawn Lake Dental Partners PLLC
• Woodlawn RSVH PLLC
• Martha Woodley
• Charles P. Woodrick
• Christopher Ryan Woodruff, PHARM.D.
• Woods R. Woolwine III, DDS, PLLC
• Aisha L Woods, LPC
• Colton Jacob Woods
• Francis W Woods, LCSW
• Hailey M Woods, FNP-C

• Pharmacist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.