Active NPI
Willard Charles Smalley, PHARM.D.
- Pharmacist
- Anaheim, CA
National Provider Identifier
1083701809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33113
- Practice address
- 441 N Lakeview Ave
Anaheim, CA 92807-3028 - Phone
- (714) 279-4380
- NPI assigned
- Oct 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33113 | CA | Primary |
| Pharmacist | 183500000X | 07515 | NV |
Addresses
Primary practice location
441 N Lakeview Ave
Anaheim, CA 92807-3028
Mailing address
PO Box 6492
Fullerton, CA 92834-6492
Phone (714) 680-6511
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 |
|---|---|---|---|
| 33113 | CA | MD | Pharmacist |
| 07515 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083701809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6492",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928346492",
"telephone_number": "714-680-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 N LAKEVIEW AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073028",
"telephone_number": "714-279-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLEY",
"first_name": "WILLARD",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "33113",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "07515",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.