Individual provider Active NPI

William Wade Langley II, PHARMD

  • Pharmacist
  • Jacksonville, NC
National Provider Identifier
1093303562
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16441 Issued in NC
Practice address
423 Yopp Rd Ste 200
Jacksonville, NC 28540-3594
Phone
(910) 347-9684
Fax
(910) 455-0622
NPI assigned
Jan 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16441 NC Primary

Addresses

Primary practice location

423 Yopp Rd Ste 200
Jacksonville, NC 28540-3594

Mailing address

1070 Chadwick Shores Dr
Sneads Ferry, NC 28460-9268
Phone (910) 774-4600

Other identifiers 1

IdentifierTypeStateIssuer
16441OtherNCPHARMACY LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jacksonville Direct

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

LicenseStateTypeSpecialty
16441NCMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1093303562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 CHADWICK SHORES DR",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609268",
            "telephone_number": "910-774-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 YOPP RD STE 200",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403594",
            "telephone_number": "910-347-9684",
            "fax_number": "910-455-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "WILLIAM",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "16441",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "423 Yopp Rd Ste 200",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285403594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.