Benjamin Kevin Woodruff, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

S020141 Issued in AZ

Practice address

16380 W Yuma Rd
Goodyear, AZ 85338-3100

Phone

(623) 925-4442

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ben Kevin Woodruff Other name

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.

• Smiths Food & Drug Centers Inc

  dba Frys Food and Drug

  • Community/Retail Pharmacy
  • Goodyear, AZ
  • NPI 1629392667
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1962837922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30225 W CHEERY LYNN RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853963173",
            "telephone_number": "623-810-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16380 W YUMA RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383100",
            "telephone_number": "623-925-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "BENJAMIN",
        "middle_name": "KEVIN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "WOODRUFF",
            "middle_name": "KEVIN",
            "credential": "PHARM D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Windsor Palm Valley, LLC (Palm Valley Rehabilitation & Care Center)
• Dionne Symone Winn, LMSW
• Keith D Winters, PA-C
• Daniel Wolter, DMD, MS
• Erika Lynn Womack, PHARMD
• Keith Dell Woodside
• Cory Gene Wooff, DMD
• McKenzie Jean Woolstenhulme, PA
• Tishuna Words, PMHNP
• Kenneth E Worthy II

• Pharmacist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.