Active NPI
William John Hexom, PHARM.D.
- Pharmacist
- Racine, WI
National Provider Identifier
1063778736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16366-40
- Practice address
- 2211 S Green Bay Rd
Racine, WI 53406-4919 - Phone
- (262) 638-0868
- NPI assigned
- Apr 7, 2012
- Sex
- Male
- 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 | 16366-40 | WI | Primary |
Addresses
Primary practice location
2211 S Green Bay Rd
Racine, WI 53406-4919
Mailing address
1405 Rockridge Rd Apt 344
Waukesha, WI 53188-2893
Phone (608) 345-8055
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16366-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333756800000",
"number": "1063778736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 ROCKRIDGE RD APT 344",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882893",
"telephone_number": "608-345-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 S GREEN BAY RD",
"city": "RACINE",
"state": "WI",
"postal_code": "534064919",
"telephone_number": "262-638-0868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEXOM",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-07",
"last_updated": "2012-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16366-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.