Active NPI
Daniel Williams
- Pharmacist
- East Lansing, MI
National Provider Identifier
1174160931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302026059
- Practice address
- 1550 W Lake Lansing Rd
East Lansing, MI 48823-1386 - Phone
- (517) 351-9445
- NPI assigned
- Nov 28, 2019
- Sex
- Male
- 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 | 5302026059 | MI | Primary |
Addresses
Primary practice location
1550 W Lake Lansing Rd
East Lansing, MI 48823-1386
Mailing address
1550 W Lake Lansing Rd
East Lansing, MI 48823-1386
Phone (517) 351-9445
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302026059 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1174160931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 W LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231386",
"telephone_number": "517-351-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 W LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231386",
"telephone_number": "517-351-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-28",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302026059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.