Active NPI
Vanessa I Williams, PHARMD
- Pharmacist
- Hastings, MN
National Provider Identifier
1114526555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121204
- Practice address
- 1752 N Frontage Rd
Hastings, MN 55033-3490 - Phone
- (651) 438-3030
- Fax
- (651) 438-1100
- NPI assigned
- Oct 17, 2020
- Sex
- Female
- 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 | 121204 | MN | Primary |
| Pharmacist | 183500000X | 21867 | NC |
Addresses
Primary practice location
1752 N Frontage Rd
Hastings, MN 55033-3490
Mailing address
3785 Greensboro CT
Saint Paul, MN 55123-1298
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 |
|---|---|---|---|
| 121204 | MN | MD | Pharmacist |
| 21867 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602892800000",
"number": "1114526555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 GREENSBORO CT",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551231298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 N FRONTAGE RD",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550333490",
"telephone_number": "651-438-3030",
"fax_number": "651-438-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "VANESSA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-17",
"last_updated": "2020-10-17",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121204",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21867",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.