ANNA M WODLINGER JACKSON


Address: 3307 N Broad St, Philadelphia, PA 19140-5101
Phone: 2157073987

ANNA M WODLINGER JACKSON (NPI# 1013124379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013124379
Entity Type Individual
Full Name ANNA M WODLINGER JACKSON
Other Name ANNA M WODLINGER
Credential PHARMD
Practice Address 3307 N Broad St
Philadelphia
PA 19140-5101
Mailing Address 501 Lantern Ln
Philadelphia
PA 19128-1054
Practice Telephone 2157073987
Mailing Telephone 2155081295
Enumeration Date 2007-05-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
RP045225L PA Pharmacy Service Providers

Office Location

Street Address 3307 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134151467 Scott Burns Physical Therapist 3307 N Broad St, Jones Hall, Room 618, Philadelphia, PA 19140-5101 2006-07-07
1346782315 Ben Pullinger Pharmacist 3307 N Broad St, Philadelphia, PA 19140-5101 2016-11-08
1184089344 Charrell S Porter Pharmacist 3307 N Broad St, Philadelphia, PA 19140-5101 2015-12-15
1841666773 Amy Cheng Pharmacist 3307 N Broad St, Philadelphia, PA 19140-5101 2015-08-14
1841435872 Michael C. Barros Pharmacist 3307 N Broad St, Philadelphia, PA 19140-5101 2008-12-04
1023275054 Talitha L Pulvino Pharmacist 3307 N Broad St, Philadelphia, PA 19140-5101 2008-05-19
1598935918 Olutosin Efunnuga Registered Nurse 3307 N Broad St, Philadelphia, PA 19140-5101 2008-03-03
1336317882 Charles Ruchalski Pharmacist 3307 N Broad St, Philadelphia, PA 19140-5101 2008-02-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487191110 Shiven Bhardwaj Pharmacist 200 Stevens Drive, Philadelphia, PA 19113 2017-01-19
1457782815 Richard Boahene Pharmacist 3321 N Park Ave, 1st Front, Philadelphia, PA 19140-5218 2013-12-10
1184710667 Tyan Frazier Pharmacist 600 South 43rd Street, Philadelphia, PA 19104 2006-10-04
1215037478 Vicky Chan Pharmacist 126 Arch St Apt 4, Philadelphia, PA 19106-2227 2006-09-25
1679570733 Tanya M Dougherty Pharmacist 51 N 39th St, 6th Floor Mutch Building, Philadelphia, PA 19104-2640 2005-07-05
1437621638 Andy Hui Pharmacist 51 N 39th St, Philadelphia, PA 19104-2640 2018-12-28
1447722681 Stela Papa Pharmacist 51 N 39th St, Philadelphia, PA 19104-2640 2018-12-28
1013436575 Brian Patrick Roslund Pharmacist 111 S 11th St, Philadelphia, PA 19107-4824 2017-09-15
1093243750 Van T Hellerslia Pharmacist 3509 N Broad Street, 5th Floor Boyer Pavillion (zone E), Philadelphia, PA 19140 2017-05-25
1679007009 Ryan D'angelo Pharmacist 600 S 43rd St, Y108, Philadelphia, PA 19104-4418 2017-04-12
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Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19140

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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