Active NPI
William Pleasant Portera, RPH
- Pharmacist
- Starkville, MS
National Provider Identifier
1083132138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-05812
- Practice address
- 223 S Jackson St
Starkville, MS 39759-3358 - Phone
- (662) 324-7112
- NPI assigned
- Sep 8, 2017
- Last updated
- Sep 9, 2017
- 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 | E-05812 | MS | Primary |
Addresses
Primary practice location
223 S Jackson St
Starkville, MS 39759-3358
Mailing address
50 5TH St
West Point, MS 39773-7547
Phone (662) 418-1200
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 |
|---|---|---|---|
| E-05812 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cougle Holdings Inc | 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.
-
dba BJ's Family Pharmacy
- Community/Retail Pharmacy
- Starkville, MS
- NPI 1942548383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504915200000",
"number": "1083132138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 5TH ST",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397737547",
"telephone_number": "662-418-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 S JACKSON ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593358",
"telephone_number": "662-324-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTERA",
"first_name": "WILLIAM",
"middle_name": "PLEASANT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-08",
"last_updated": "2017-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-05812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.