Active NPI
Beverly White
- Pharmacist
- Williamsburg, KY
National Provider Identifier
1013517481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012708
- Practice address
- 589 W Highway 92
Williamsburg, KY 40769-1684 - Phone
- (606) 549-4087
- Fax
- (606) 549-0683
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 012708 | KY | Primary |
Addresses
Primary practice location
589 W Highway 92
Williamsburg, KY 40769-1684
Mailing address
589 W Highway 92
Williamsburg, KY 40769-1684
Phone (606) 549-4087
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012708 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1013517481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 W HIGHWAY 92",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407691684",
"telephone_number": "606-549-4087",
"fax_number": "606-549-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 W HIGHWAY 92",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407691684",
"telephone_number": "606-549-4087",
"fax_number": "606-549-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, KY
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1048)
- Wal-Mart Stores East, LP (Vision Center 30-1048)
- Jody Beth Walker, TCM
- We Care Home Care, LLC
- Welllife Chiropractic Center
- Jonathan Tyler White, PA
- Whitley County Board of Education
- Whitley County County Treasurer (Whitley County EMS)
- Whitley County Health Department
- Whitley County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.