Individual provider Active NPI

Peyton Danielle Wood, PHARMD

  • Pharmacist
  • Bloomington, IL
National Provider Identifier
1861361271
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.307133 Issued in IL
Practice address
2201 E Oakland Ave
Bloomington, IL 61701-5760
Phone
(309) 663-6341
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.307133 IL Primary

Addresses

Primary practice location

2201 E Oakland Ave
Bloomington, IL 61701-5760

Mailing address

102 Donnie Dr Apt 2
Bloomington, IL 61704-9195

Other practice location 1

2103 N Veterans Pkwy
Bloomington, IL 61704-0908
Phone (309) 664-1333

Other practice location 2

901 S Cottage Ave
Normal, IL 61761-3302
Phone (309) 454-6080

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

LicenseStateTypeSpecialty
051.307133ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Drug Stores LLC PastSince Nov 9, 2025 Accepting new patients
American Drug Stores LLC PastSince Nov 9, 2025 Accepting new patients
American Drug Stores LLC Past Accepting new patients

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1861361271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DONNIE DR APT 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E OAKLAND AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015760",
            "telephone_number": "309-663-6341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 N Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617040908",
            "country_code": "US",
            "telephone_number": "309-664-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 S Cottage Ave",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617613302",
            "country_code": "US",
            "telephone_number": "309-454-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PEYTON",
        "middle_name": "DANIELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.307133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.