Active NPI
Kelly Wooldridge, PHARMD
- Pharmacist
- Spring Hill, TN
National Provider Identifier
1962876771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11275
- Practice address
- 2001 Campbell Station Pkwy
Suite a-5
Spring Hill, TN 37174-7417 - Phone
- (855) 273-3924
- Fax
- (855) 273-3925
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11275 | TN | Primary |
Addresses
Primary practice location
2001 Campbell Station Pkwy
Suite a-5
Spring Hill, TN 37174-7417
Mailing address
2001 Campbell Station Pkwy
Suite a-5
Spring Hill, TN 37174-7417
Phone (855) 273-3924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244183 | Other | NABP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11275 | TN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1962876771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CAMPBELL STATION PKWY",
"address_2": "SUITE A-5",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371747417",
"telephone_number": "855-273-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CAMPBELL STATION PKWY",
"address_2": "SUITE A-5",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371747417",
"telephone_number": "855-273-3924",
"fax_number": "855-273-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLDRIDGE",
"first_name": "KELLY",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "244183",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.