Jamie Lyn Shelly Woodyard, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21936 Issued in NC

Practice address

1400 W State Street, BLDG. B, Suite C
West Lafayette, IN 47906

Phone

(765) 494-0111

NPI assigned

Jul 24, 2011

Last updated

Jun 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• CHS Indiana Medical, P.C.

  dba The Center for Healthy Living

  • General Practice Physician
  • West Lafayette, IN
  • NPI 1306196282
  NPD

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1902184088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4296 REGATTA DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098473",
            "telephone_number": "815-210-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W STATE STREET, BLDG. B, SUITE C",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47906",
            "telephone_number": "765-494-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODYARD",
        "first_name": "JAMIE",
        "middle_name": "LYN SHELLY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Witham Memorial Hospital (Cumberland Pointe Health Campus)
• Melanie N Wolf
• Rebecca L Wong, PH.D.
• Connor Augustus Wood
• Scott F Wood, N.P.
• Paige Elizabeth Wooldridge
• Cydney Woolley, LCSW
• Kelly Wright
• Heather Wuertz, LMHC
• Jill Wulliman

• Pharmacist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.