Active NPI
Diane Ruth Williams, RPH
- Pharmacist
- Wildwood, MO
National Provider Identifier
1033558994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 030007
- Practice address
- 2460 Taylor Rd
Wildwood, MO 63040-1222 - Phone
- (636) 458-7450
- Fax
- (636) 530-3002
- NPI assigned
- Jun 24, 2013
- 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 | 030007 | MO | Primary |
Addresses
Primary practice location
2460 Taylor Rd
Wildwood, MO 63040-1222
Mailing address
15889 Cedarmill Dr
Chesterfield, MO 63017-8717
Phone (636) 537-1911
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
| License | State | Type | Specialty |
|---|---|---|---|
| 030007 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1033558994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15889 CEDARMILL DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178717",
"telephone_number": "636-537-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 TAYLOR RD",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630401222",
"telephone_number": "636-458-7450",
"fax_number": "636-530-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DIANE",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "030007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.