Eileen Frances Wood, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

033616 Issued in NY

Practice address

601 19TH St
Watervliet, NY 12189-2099

Phone

(518) 273-1407

NPI assigned

Dec 17, 2020

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1467048066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PATROON CREEK BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122065006",
            "telephone_number": "518-641-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 19TH ST",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892099",
            "telephone_number": "518-273-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "EILEEN",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "033616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE PHARMACY LICENSE NUMBER",
            "identifier": "0033616",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Watervliet",
            "affiliation": "N",
            "endpointDescription": "PioneerRx",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 19th St",
            "city": "Watervliet",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121892099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Watervliet City School District
• Watervliet Pharmacy Acquisition, LLC
• Watervliet Pharmacy Acquisition, LLC
• Whitney M Young Jr. Health Center, Inc
• Whitney M. Young, Jr. Health Center, Inc.

• Pharmacist in Watervliet, NY
• Providers in Watervliet, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.