Active NPI
Thomas Williams, PHARM D
- Pharmacist
- Mineral Wells, TX
National Provider Identifier
1164839783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56377
- Practice address
- 601 No Farm to Market Rd 1821
Mineral Wells, TX 76067 - Phone
- (940) 325-9401
- NPI assigned
- Jul 15, 2014
- Last updated
- Oct 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15977 | KS | |
| Pharmacist | 183500000X | 56377 | TX | Primary |
Addresses
Primary practice location
601 No Farm to Market Rd 1821
Mineral Wells, TX 76067
Mailing address
1624 N Rock Rd
Derby, KS 67037-3718
Phone (316) 554-2121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15977 | KS | MD | Pharmacist |
| 56377 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1164839783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 N ROCK RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373718",
"telephone_number": "316-554-2121",
"fax_number": "316-554-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 NO FARM TO MARKET RD 1821",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "76067",
"telephone_number": "940-325-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "THOMAS",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2023-10-30",
"certification_date": "2023-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "15977",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineral Wells, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.