Active NPI
Tiera Shanae Williams, PHARMD, RPH
- Pharmacist
- Decatur, GA
National Provider Identifier
1154920726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032555
- Practice address
- 2675 N Decatur Rd
Decatur, GA 30033-6131 - Phone
- (404) 299-5411
- NPI assigned
- Oct 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH032555 | GA | Primary |
Addresses
Primary practice location
2675 N Decatur Rd
Decatur, GA 30033-6131
Mailing address
1399 Herrington Rd Apt 1209
Lawrenceville, GA 30044-3399
Phone (815) 616-2191
Other practice location 1
631 Professional Dr Ste 100
Lawrenceville, GA 30046-3370
Phone (770) 339-2029
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032555 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1154920726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 HERRINGTON RD APT 1209",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443399",
"telephone_number": "815-616-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336131",
"telephone_number": "404-299-5411"
}
],
"practiceLocations": [
{
"address_1": "631 Professional Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300463370",
"country_code": "US",
"telephone_number": "770-339-2029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TIERA",
"middle_name": "SHANAE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.