Active NPI
Marcus Wade Williams, PHARM.D.
- Pharmacist
- Edinburg, TX
National Provider Identifier
1124417837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53878
- Practice address
- 4955 S Jackson Rd
Edinburg, TX 78539-7228 - Phone
- (956) 393-2000
- Fax
- (956) 393-2010
- NPI assigned
- Jan 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53878 | TX | Primary |
| Pharmacist | 183500000X | 15849 | AL |
Addresses
Primary practice location
4955 S Jackson Rd
Edinburg, TX 78539-7228
Mailing address
4955 S Jackson Rd
Edinburg, TX 78539-7228
Phone (956) 393-2000
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 |
|---|---|---|---|
| 15849 | AL | MD | Pharmacist |
| 53878 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmplex LTD II | Past | Accepting new patients | |
| Ridgepoint Medical Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Edinburg, TX
- NPI 1073591921
-
- Community/Retail Pharmacy
- Edinburg, TX
- NPI 1770580417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1124417837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397228",
"telephone_number": "956-393-2000",
"fax_number": "956-393-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397228",
"telephone_number": "956-393-2000",
"fax_number": "956-393-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARCUS",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-19",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53878",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15849",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.