Jessica Woodard

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0019660 Issued in OR

Practice address

12675 NW Cornell Rd
Portland, OR 97229-5886

Phone

(503) 495-3740

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By 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

State licenses

Practice roles

Locations

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.

• Oregon CVS Pharmacy LLC

  • Pharmacy
  • Portland, OR
  • NPI 1689327801
  NPD
• Oregon CVS Pharmacy LLC

  dba CVS Pharmacy #11677

  • Pharmacy
  • Bend, OR
  • NPI 1497864771
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1922883875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 NE 9TH AVE APT 1529",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323501",
            "telephone_number": "937-243-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12675 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295886",
            "telephone_number": "503-495-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0019660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie G Wood
• William Denzel Wood, BCBA
• William Joseph Wood Jr., MD
• Holly Deanne Woodall, APN
• Alexander Woodard
• Jos'Lyn Iman Woodard, M.D.
• Sharon Mae Woodard, N.D.
• Jerry Woodards, MSW
• Marcia C Woodburn, AGACNP
• Woodhaven Therapy, Inc.

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.