Active NPI
Roy Dale Wood II, PHARM.D.
- Pharmacist
- Bradenton, FL
National Provider Identifier
1700155504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38809
- Practice address
- 3425 53Rd Ave W
Bradenton, FL 34210-3490 - Phone
- (941) 752-7997
- Fax
- (941) 753-4555
- NPI assigned
- Dec 22, 2011
- Last updated
- Dec 19, 2022
- Sex
- Male
- 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 | 38809 | TN | Primary |
Addresses
Primary practice location
3425 53Rd Ave W
Bradenton, FL 34210-3490
Mailing address
3144 N Highland Ave
Jackson, TN 38305-3483
Phone (731) 660-3335
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3144 N Highland Ave
Jackson, TN 38305
Phone (731) 660-3335
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1700155504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3144 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053483",
"telephone_number": "731-660-3335",
"fax_number": "731-660-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 53RD AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103490",
"telephone_number": "941-752-7997",
"fax_number": "941-753-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ROY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "38809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.