Active NPI
William Crawford Hussey
- Pharmacist
- Eastman, GA
National Provider Identifier
1124337548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 013825
- Practice address
- 5011 4TH Ave
Eastman, GA 31023-5801 - Phone
- (478) 374-7816
- Fax
- (478) 374-7816
- NPI assigned
- Oct 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 013825 | GA | Primary |
Addresses
Primary practice location
5011 4TH Ave
Eastman, GA 31023-5801
Mailing address
5011 4TH Ave
Eastman, GA 31023
Phone (478) 374-7816
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013825 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1124337548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 4TH AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "31023",
"telephone_number": "478-374-7816",
"fax_number": "478-374-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 4TH AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310235801",
"telephone_number": "478-374-7816",
"fax_number": "478-374-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEY",
"first_name": "WILLIAM",
"middle_name": "CRAWFORD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "013825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastman, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.