Active NPI
Ciara Nicole Will, PHARMD
- Pharmacist
- Lumberton, TX
National Provider Identifier
1033764022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58868
- Practice address
- 139 N LHS Dr
Lumberton, TX 77657-1181 - Phone
- (097) 551-1454
- Fax
- (409) 755-1314
- NPI assigned
- Aug 6, 2019
- Last updated
- Oct 14, 2022
- Sex
- Female
- 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 | 58868 | TX | Primary |
Addresses
Primary practice location
139 N LHS Dr
Lumberton, TX 77657-1181
Mailing address
139 N LHS Dr
Lumberton, TX 77657-1181
Phone (409) 755-1145
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pharmacist@kingspharmacybmt.com |
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GKH Inc | Current | Accepting new patients | |
| GKH Inc | Past | Accepting new patients |
Locations
3610 N Major Dr
Beaumont, TX 77713
Phone (409) 860-0040
Organizations & group practices 2
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": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1033764022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 N LHS DR",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776571181",
"telephone_number": "409-755-1145",
"fax_number": "409-755-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 N LHS DR",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776571181",
"telephone_number": "097-551-1454",
"fax_number": "409-755-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILL",
"first_name": "CIARA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58868",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pharmacist@kingspharmacybmt.com",
"affiliation": "N",
"address_1": "3610 N Major Dr",
"city": "Beaumont",
"state": "TX",
"country_code": "US",
"postal_code": "777139573",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lumberton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.