Edwin Kendall Williams Jr., D.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

C3385 Issued in TN

Practice address

100 Star Shopping Ctr St
Covington, TN 38019-3000

Phone

(901) 476-9444

Fax

(901) 476-5653

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003019126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W LIBERTY AVE",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192412",
            "telephone_number": "901-476-8521",
            "fax_number": "901-476-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STAR SHOPPING CTR ST",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193000",
            "telephone_number": "901-476-9444",
            "fax_number": "901-476-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDWIN",
        "middle_name": "KENDALL",
        "name_suffix": "Jr.",
        "credential": "D.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "C3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyette White
• Jeffrey L Whitley, DDS
• Olivia Whitley, OTR/L
• Stan Jordan Whitley, OD
• Patsy Whitson
• Kerry Kelley Williams, OTR/L
• Rosalind T Williamson
• Tristen Gabrielle Willis, COTA
• Michelle Wilson, R.N.
• Deborah Wrather Winberry, RDH

• Pharmacist in Covington, TN
• Providers in Covington, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.