Danielle Renee Jacobs-Woodward, CPHT.,RPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303000537 Issued in MI

Practice address

22835 Van Dyke
Warren, MI 48089

Phone

(586) 757-6505

Fax

(586) 757-7785

NPI assigned

Sep 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1689043705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8138 E VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142641",
            "telephone_number": "313-402-6657",
            "fax_number": "586-757-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22835 VAN DYKE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48089",
            "telephone_number": "586-757-6505",
            "fax_number": "586-757-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-WOODWARD",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "CPHT.,RPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303000537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lynn Jackson, PA-C
• Joi Jackson
• Kenneth T Jackson, MASTERS
• Ruth A Jackson, NP
• Megan McKinzie Jacobs-Andrews
• Amber Elizabeth Jacobs, LMSW
• Darcie Jacobson
• Deeshpaul Singh Jadir, D.O.
• Komal Jafarani
• Ashley Jagoda

• Pharmacy Technician in Warren, MI
• Providers in Warren, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.