DR. DEONNA RENEE MADISON-WOOTEN PHARM.D
NPI 1104108844
Pharmacist in Jennings, MO

Q: What is Deonna Madison-wooten's NPI number?

The NPI number for Deonna Madison-wooten is 1104108844. It was assigned to this individual provider in the NPPES registry on September 19, 2011.

Q: What is Deonna Madison-wooten's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since September 19, 2011

9285 HALLS FERRY RD, JENNINGS, MO 63136(314) 867-1360(314) 867-8027 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Deonna Renee Madison-wooten Pharm.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEONNA RENEE MADISON-WOOTEN PHARM.D (NPI 1104108844) is an individual pharmacist in Jennings, Missouri, licensed in Illinois (051293523) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1104108844

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameDR. DEONNA RENEE MADISON-WOOTENCredential: PHARM.D

Location Address9285 HALLS FERRY RDJennings, MO 63136-5144

Mailing Address922 Benjamin DrO Fallon, IL 62269-6857 · (314) 867-1360 · Fax (314) 867-7802

Phone(314) 867-1360

Fax(314) 867-8027

Sole ProprietorYes

Enumeration DateSeptember 19, 2011

✔ NPI 1104108844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in IL · 051293523✔ Licensed in MO · 2009025150

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

9285 HALLS FERRY RD, Jennings, MO 63136

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALGREEN CO

Pharmacy