Kurt Alexander Willis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

30682 Issued in FL

Practice address

6800 Kingspointe Pkwy Ste 100
Orlando, FL 32819-8592

Phone

(407) 722-5076

Fax

(877) 633-7298

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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.

• Wholescripts Pharmacy, LLC

  • Community/Retail Pharmacy
  • Orlando, FL
  • NPI 1821614983
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1164014353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 KINGSPOINTE PKWY STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198592",
            "telephone_number": "407-722-5076",
            "fax_number": "877-633-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 KINGSPOINTE PKWY STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198592",
            "telephone_number": "407-722-5076",
            "fax_number": "877-633-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KURT",
        "middle_name": "ALEXANDER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "020244",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68145",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "4445",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "30682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Willingham, CRNA
• Bernard Willis
• Breonna Shanice Willis
• Dennis Ramsey Willis
• Jennifer Michelle Willis, MD
• Marjorie Ann Willis, LMHC
• Rebecca Willis
• Sabria Willis
• William H Willis VII, MD
• Jessica A. Willison, LM, CPM

• Pharmacist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.