Active NPI
Jacolyn Jane Wood, RPH
- Pharmacist
- Wichita, KS
National Provider Identifier
1558646729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9064
- Practice address
- 2229 N Maize Rd
Wichita, KS 67205-7301 - Phone
- (316) 722-0741
- NPI assigned
- Oct 19, 2011
- Last updated
- Oct 19, 2011
- 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 | 9064 | KS | Primary |
Addresses
Primary practice location
2229 N Maize Rd
Wichita, KS 67205-7301
Mailing address
3314 N Forest Ridge St
Wichita, KS 67205-1932
Phone (316) 722-1774
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9064 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1558646729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 N FOREST RIDGE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051932",
"telephone_number": "316-722-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 N MAIZE RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672057301",
"telephone_number": "316-722-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JACOLYN",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "9064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.