Individual provider Active NPI

Craig Matthew Woodruff, PHARM. D. RPH

  • Pharmacist
  • Wesley Chapel, FL
National Provider Identifier
1821369364
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0035941 Issued in FL
Practice address
27949 Raven Brook Rd
Wesley Chapel, FL 33544-2740
Phone
(813) 478-2792
NPI assigned
Jan 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0035941 FL Primary

Addresses

Primary practice location

27949 Raven Brook Rd
Wesley Chapel, FL 33544-2740

Mailing address

27949 Raven Brook Rd
Wesley Chapel, FL 33544-2740
Phone (813) 478-2792

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS0035941FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1821369364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27949 RAVEN BROOK RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335442740",
            "telephone_number": "813-478-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27949 RAVEN BROOK RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335442740",
            "telephone_number": "813-478-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "CRAIG",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARM. D. RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0035941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.