Individual provider Active NPI

Michael Woodley, R.PH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Monument, CO
National Provider Identifier
1962800128
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
15233 Issued in CO
Practice address
1110 Edenhurst CT
Monument, CO 80132-8484
Phone
(720) 838-7905
NPI assigned
Dec 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 15233 CO Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 27297 TX
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 47183 FL
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 1673 AK
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11173 TN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 12257 NE
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 09006 AR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5302033289 MI
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11156 SC

Addresses

Primary practice location

1110 Edenhurst CT
Monument, CO 80132-8484

Mailing address

1110 Edenhurst CT
Monument, CO 80132-8484
Phone (720) 838-7905

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
11156SCMDSocial Worker
1673AKMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
09006ARMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
15233COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
47183FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5302033289MIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
12257NEMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
27297TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1962800128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 EDENHURST CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328484",
            "telephone_number": "720-838-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 EDENHURST CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328484",
            "telephone_number": "720-838-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "MICHAEL",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "15233",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "27297",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "47183",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AK",
            "license": "1673",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "11173",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NE",
            "license": "12257",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "09006",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302033289",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SC",
            "license": "11156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.