Jennifer Reshay Wood, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS57846 Issued in FL

Practice address

1116 N Ferdon Blvd
Crestview, FL 32536-1710

Phone

(850) 683-1111

NPI assigned

Aug 16, 2019

Last updated

Aug 16, 2019By the provider in NPPES

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

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crestview City Pharmacy Inc

  dba Crestview City Pharmacy

  • Community/Retail Pharmacy
  • Crestview, FL
  • NPI 1871207837
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1699321331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325361710",
            "telephone_number": "850-683-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325361710",
            "telephone_number": "850-683-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "middle_name": "RESHAY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crestviewpharmacyfla.com",
            "affiliation": "N",
            "endpointDescription": "Store Website",
            "address_1": "1116 N Ferdon Blvd",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325361710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Travis T Williams, DPT
• Sandra Elizabeth Wilson, PA
• Melissa Winn, LMHC
• Jessica Kristin Wirth, PHARMD
• Womens Manual Physical Therapy LLC (FYZICAL Therapy and Balance Center)
• Kyra Wood, OTD
• Dominique Woodard
• Danielle Wrencher, M.ED
• Alyssa Wright
• Taylor Wright, PTA

• Pharmacist in Crestview, FL
• Providers in Crestview, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.