Individual provider Active NPI

Horace Williams Jr., RPH

  • Pharmacist
  • Pasadena, CA
National Provider Identifier
1083169015
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23311 Issued in CA
Practice address
257 S Fair Oaks Ave
#200
Pasadena, CA 91105-4130
Phone
(626) 449-0099
Fax
(626) 449-7388
NPI assigned
Aug 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23311 CA Primary

Addresses

Primary practice location

257 S Fair Oaks Ave
#200
Pasadena, CA 91105-4130

Mailing address

257 S Fair Oaks Ave
#200
Pasadena, CA 91105-4130
Phone (626) 449-0099

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1083169015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S FAIR OAKS AVE",
            "address_2": "#200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054130",
            "telephone_number": "626-449-0099",
            "fax_number": "626-449-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S FAIR OAKS AVE",
            "address_2": "#200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054130",
            "telephone_number": "626-449-0099",
            "fax_number": "626-449-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HORACE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "23311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.