Active NPI
Joe E Williams Jr.
- Pharmacist
- Stone Mountain, GA
National Provider Identifier
1033713334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH026466
- Practice address
- 5755 Rockbridge Rd
Stone Mountain, GA 30087-5702 - Phone
- (770) 469-7992
- Fax
- (770) 469-3467
- NPI assigned
- Nov 26, 2020
- Last updated
- Nov 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 | RPH026466 | GA | Primary |
Addresses
Primary practice location
5755 Rockbridge Rd
Stone Mountain, GA 30087-5702
Mailing address
3694 Hunting Ridge Dr SW
Lilburn, GA 30047-2508
Phone (678) 717-7403
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cvs.com | Direct | Georgia CVS Pharmacy, L.L.C. |
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 |
|---|---|---|---|
| RPH026466 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
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": "1606348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606348800000",
"number": "1033713334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3694 HUNTING RIDGE DR SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300472508",
"telephone_number": "678-717-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 ROCKBRIDGE RD",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300875702",
"telephone_number": "770-469-7992",
"fax_number": "770-469-3467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JOE",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-26",
"last_updated": "2020-11-26",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026466",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cvs.com",
"affiliation": "Y",
"endpointDescription": "cvs pharmacy",
"affiliationName": "Georgia CVS Pharmacy, L.L.C.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5755 Rockbridge Rd",
"city": "Stone Mountain",
"state": "GA",
"country_code": "US",
"postal_code": "300875702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.