Active NPI
Shakara Williams, CPHT
- Pharmacy Technician
- Hamburg, AR
National Provider Identifier
1043035520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT97749
- Practice address
- PO Box 408
Hamburg, AR 71646-0408 - Phone
- (870) 831-6163
- Fax
- (888) 385-2977
- NPI assigned
- Nov 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PT97749 | AR | |
| Pharmacy Technician | 183700000X | PT97749 | AR | Primary |
Addresses
Primary practice location
PO Box 408
Hamburg, AR 71646-0408
Mailing address
113 E Adams St
Hamburg, AR 71646-3256
Phone (870) 831-6163
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 |
|---|---|---|---|
| PT97749 | AR | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carefirst Pharmacy and Wellness Center | Pharmacy | Current | Accepting new patients |
Locations
109 E Adams St
Hamburg, AR 71646
Phone (870) 831-6163
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hamburg, AR
- NPI 1407544364
Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1043035520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E ADAMS ST",
"city": "HAMBURG",
"state": "AR",
"postal_code": "716463256",
"telephone_number": "870-831-6163",
"fax_number": "888-385-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 408",
"city": "HAMBURG",
"state": "AR",
"postal_code": "716460408",
"telephone_number": "870-831-6163",
"fax_number": "888-385-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHAKARA",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "PT97749",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AR",
"license": "PT97749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.