Active NPI
Rudijah Elizabeth Wordlaw, PHARMD, MPH
- Pharmacist
- Stockbridge, GA
National Provider Identifier
1790464154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH035041
- Practice address
- 1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085 - Phone
- (678) 604-1000
- NPI assigned
- Jul 13, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.305796 | IL | |
| Pharmacy Technician | 183700000X | 049.303328 | IL | |
| Pharmacist | 183500000X | RPH035041 | GA | Primary |
Addresses
Primary practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Mailing address
1900 W Polk St
Chicago, IL 60612-3723
Phone (404) 921-7547
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 |
|---|---|---|---|
| RPH035041 | GA | MD | Pharmacist |
| 051.305796 | IL | MD | Pharmacist |
| 049.303328 | IL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1790464154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W POLK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123723",
"telephone_number": "404-921-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815085",
"telephone_number": "678-604-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORDLAW",
"first_name": "RUDIJAH",
"middle_name": "ELIZABETH",
"credential": "PHARMD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.305796",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IL",
"license": "049.303328",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH035041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.