Jonathan Keith Willett, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

15789 Issued in OK

Practice address

1904 Carl Albert Blvd Ste a
Ada, OK 74820-3493

Phone

(580) 436-3980

Fax

(580) 272-1016

NPI assigned

Oct 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Chickasaw Nation Division of Health

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ada, OK
  • NPI 1649593252
  NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1154928166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 CARL ALBERT BLVD STE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203493",
            "telephone_number": "580-436-3980",
            "fax_number": "580-272-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 CARL ALBERT BLVD STE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203493",
            "telephone_number": "580-436-3980",
            "fax_number": "580-272-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "JONATHAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Dean Whitworth
• James Francis Wight, M.D.
• April Lynn Wigley-Elliott, LMT
• Anna Wiles
• Kacie Wilkin, PA-C
• William Joseph Baker MD PLLC
• William L. Barrett M.D.P.C.
• Williams Medical Group Practice, LLC
• Craig E. Williams, LPC,MC
• Jeffrey Scott Williams, ATC, LAT

• All providers in Ada, OK
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.