Individual provider Active NPI

William Gregory Wood, RPH, CDE

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1841298502
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31383 Issued in FL
Practice address
4867 Florida Club Cir Apt 4211
Jacksonville, FL 32216-1090
Phone
(334) 750-5521
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12939 AL
Pharmacist 183500000X 31383 FL Primary

Addresses

Primary practice location

4867 Florida Club Cir Apt 4211
Jacksonville, FL 32216-1090

Mailing address

4867 Florida Club Cir Apt 4211
Jacksonville, FL 32216-1090
Phone (334) 750-5521

Other identifiers 4

IdentifierTypeStateIssuer
12939OtherALALABAMA PHARMACIST
31383OtherFLPHARMACIST LICENSE
12939OtherALPRECEPTOR
12939OtherALPHARMACIST CONSULTANT

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
12939ALMDPharmacist
31383FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1841298502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 FLORIDA CLUB CIR APT 4211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161090",
            "telephone_number": "334-750-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 FLORIDA CLUB CIR APT 4211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161090",
            "telephone_number": "334-750-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WILLIAM",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "RPH, CDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12939",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "31383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA PHARMACIST",
            "identifier": "12939",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "31383",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRECEPTOR",
            "identifier": "12939",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST CONSULTANT",
            "identifier": "12939",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.