Active NPI
Jeffery K Williams, RPH
- Pharmacist
- Missouri City, TX
National Provider Identifier
1114081627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25674
- Practice address
- 9414 Oakland Lake Way
Missouri City, TX 77459-6446 - Phone
- (281) 772-6960
- Fax
- (713) 667-5030
- NPI assigned
- Dec 20, 2006
- 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 | 25674 | TX | Primary |
Addresses
Primary practice location
9414 Oakland Lake Way
Missouri City, TX 77459-6446
Mailing address
9414 Oakland Lake Way
Missouri City, TX 77459-6446
Phone (281) 772-6960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25674 | Other | TX | TEXAS STATE BOARD OF PHAR |
Other names 1
- Mr. Jeffery K Williams
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 |
|---|---|---|---|
| 25674 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114081627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9414 OAKLAND LAKE WAY",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774596446",
"telephone_number": "281-772-6960",
"fax_number": "713-667-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9414 OAKLAND LAKE WAY",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774596446",
"telephone_number": "281-772-6960",
"fax_number": "713-667-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEFFERY",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "25674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHAR",
"identifier": "25674",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFERY",
"last_name": "WILLIAMS",
"middle_name": "K",
"prefix": "MR.",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Missouri City, TX
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.