Individual provider Active NPI

Michael Royce Williams, RPH

  • Community/Retail Pharmacy
  • East Dublin, GA
National Provider Identifier
1013957208
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE8707 Issued in GA
Practice address
203 Central Dr
East Dublin, GA 31027-7407
Phone
(478) 274-8876
Fax
(478) 272-9890
NPI assigned
Jun 7, 2006
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17327 GA
Community/Retail Pharmacy 3336C0003X PHRE8707 GA Primary

Addresses

Primary practice location

203 Central Dr
East Dublin, GA 31027-7407

Mailing address

PO Box 13269
East Dublin, GA 31027-2800
Phone (478) 274-8876

Other identifiers 2

IdentifierTypeStateIssuer
457538874AMedicaidGA
PHRE008707OtherGAGEORGIA STATE BOARD OF PHARMACY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17327GAMDPharmacist
PHRE8707GAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Michael's Pharmacy Pharmacist Current Accepting new patients

Locations

203 Central Dr
East Dublin, GA 31027
Phone (478) 274-8876

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1013957208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13269",
            "city": "EAST DUBLIN",
            "state": "GA",
            "postal_code": "310272800",
            "telephone_number": "478-274-8876",
            "fax_number": "478-272-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CENTRAL DR",
            "city": "EAST DUBLIN",
            "state": "GA",
            "postal_code": "310277407",
            "telephone_number": "478-274-8876",
            "fax_number": "478-272-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "ROYCE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "17327",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE8707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457538874A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE BOARD OF PHARMACY",
            "identifier": "PHRE008707",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.