Active NPI
Candace Hayley Wood, PHARMD
- Pharmacist
- Mount Airy, NC
National Provider Identifier
1457648131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21884
- Practice address
- 364 N South St
Gates Pharmacy
Mt. Airy, NC 27030 - Phone
- (336) 789-5050
- NPI assigned
- Jul 1, 2011
- Last updated
- Jan 22, 2018
- 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 | 21884 | NC | Primary |
Addresses
Primary practice location
364 N South St
Gates Pharmacy
Mt. Airy, NC 27030
Mailing address
364 N South St.
Gates Pharmacy
Mt Airy, NC 27030
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 |
|---|---|---|---|
| 21884 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Meds RX | Current | Accepting new patients | |
| Innovative Meds RX | Current | Accepting new patients |
Locations
364 N South St
Mount Airy, NC 27030
Phone (336) 789-5050
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1457648131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 N SOUTH ST.",
"address_2": "GATES PHARMACY",
"city": "MT AIRY",
"state": "NC",
"postal_code": "27030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 N SOUTH ST",
"address_2": "GATES PHARMACY",
"city": "MT. AIRY",
"state": "NC",
"postal_code": "27030",
"telephone_number": "336-789-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CANDACE",
"middle_name": "HAYLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.