Active NPI
Dora Jo Williams
- Pharmacist
- South Shore, KY
National Provider Identifier
1144788498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12164
- Practice address
- 437 James E Hannah Dr
South Shore, KY 41175-9600 - Phone
- (606) 932-3614
- Fax
- (606) 932-3614
- NPI assigned
- Mar 6, 2019
- Last updated
- Feb 22, 2021
- Sex
- Female
- 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 | 12164 | KY | Primary |
Addresses
Primary practice location
437 James E Hannah Dr
South Shore, KY 41175-9600
Mailing address
PO Box 774
South Shore, KY 41175-0774
Phone (606) 932-3614
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 |
|---|---|---|---|
| 12164 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonald Pharmacy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McDonald Pharmacy
- Community/Retail Pharmacy
- South Shore, KY
- NPI 1073682852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1144788498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 774",
"city": "SOUTH SHORE",
"state": "KY",
"postal_code": "411750774",
"telephone_number": "606-932-3614",
"fax_number": "606-932-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 JAMES E HANNAH DR",
"city": "SOUTH SHORE",
"state": "KY",
"postal_code": "411759600",
"telephone_number": "606-932-3614",
"fax_number": "606-932-3614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DORA",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "12164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Shore, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.