Active NPI
Jenell Renae Wood, PHARMD
- Pharmacist
- Elmwood, IL
National Provider Identifier
1689953796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.293774
- Practice address
- 202 N Morgan St
Elmwood, IL 61529-9402 - Phone
- (309) 368-8516
- NPI assigned
- Aug 7, 2011
- Last updated
- Aug 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.293774 | IL | Primary |
| Pharmacist | 183500000X | 2009020949 | MO |
Addresses
Primary practice location
202 N Morgan St
Elmwood, IL 61529-9402
Mailing address
202 N Morgan St
Elmwood, IL 61529-9402
Phone (309) 368-8516
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 |
|---|---|---|---|
| 051.293774 | IL | MD | Pharmacist |
| 2009020949 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312675200000",
"number": "1689953796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N MORGAN ST",
"city": "ELMWOOD",
"state": "IL",
"postal_code": "615299402",
"telephone_number": "309-368-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N MORGAN ST",
"city": "ELMWOOD",
"state": "IL",
"postal_code": "615299402",
"telephone_number": "309-368-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JENELL",
"middle_name": "RENAE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-07",
"last_updated": "2011-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.293774",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2009020949",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.