Tip Allen Williams, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

D-07671 Issued in MS

Practice address

2044 Highway 1 S
Greenville, MS 38701-7806

Phone

(662) 332-0177

Fax

(662) 537-4953

NPI assigned

Dec 5, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1154927242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E SEMMES ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464547",
            "telephone_number": "601-672-4008",
            "fax_number": "662-537-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017806",
            "telephone_number": "662-332-0177",
            "fax_number": "662-537-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIP",
        "middle_name": "ALLEN",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "D-07671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.aainfusion.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2044 Highway 1 S",
            "city": "Greenville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387017806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kareta M Williams
• Lindsey Williams
• Marilyn D Williams, NP
• Pamela Lee Williams
• Portia Williams, M.A.
• Joann Wilson
• Joyce Y Wilson, SLA
• Cha'Ron Keontya Watt Winder
• Lacrystal Winder
• Octavia Rochelle Winder, LPC

• Pharmacist in Greenville, MS
• Providers in Greenville, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.