Jennifer Wood, PHARM D.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

FP5402362 Issued in WV

Practice address

134 S Queen St
Martinsburg, WV 25401-3316

Phone

(304) 267-8903

Fax

(304) 267-9175

NPI assigned

Jun 24, 2020

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

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Patterson'S Drug Store, Inc.

  • Long Term Care Pharmacy
  • Martinsburg, WV
  • NPI 1508610205
  NPD
• Patterson'S Drug Store, Inc.

  • Community/Retail Pharmacy
  • Martinsburg, WV
  • NPI 1053498584
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1689290702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S QUEEN ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013316",
            "telephone_number": "304-267-8903",
            "fax_number": "304-267-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S QUEEN ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013316",
            "telephone_number": "304-267-8903",
            "fax_number": "304-267-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "FP5402362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142194000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pattersonsdrugstore@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "134 S Queen St",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254013316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darrell Wolfe
• Ginny Wolford
• Maggie Wolford
• Sheldon Frazer Wolfson
• Woman and Child, PC
• W. Scott Wood III, PH.D.
• Carol Woodruff, RN
• Marquis Woods
• Percy Woods
• Bonnie Woodward

• Community/Retail Pharmacy in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.