Active NPI
Lora Hickman Williams, PHARM.D.
- Pharmacist
- Surgoinsville, TN
National Provider Identifier
1174611644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9716
- Practice address
- 110 Bellamy Ave.
Surgoinsville, TN 37873 - Phone
- (423) 345-3511
- Fax
- (423) 345-2181
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 9716 | TN | Primary |
| Pharmacist | 183500000X | 017973 | GA |
Addresses
Primary practice location
110 Bellamy Ave.
Surgoinsville, TN 37873
Mailing address
504 Buckpoint
Church Hill, TN 37642-4337
Phone (423) 357-4496
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 |
|---|---|---|---|
| 017973 | GA | MD | Pharmacist |
| 9716 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Drugs Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Williams Drug Store
- Community/Retail Pharmacy
- Surgoinsville, TN
- NPI 1801970496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174611644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 BUCKPOINT",
"city": "CHURCH HILL",
"state": "TN",
"postal_code": "376424337",
"telephone_number": "423-357-4496",
"fax_number": "423-345-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BELLAMY AVE.",
"city": "SURGOINSVILLE",
"state": "TN",
"postal_code": "37873",
"telephone_number": "423-345-3511",
"fax_number": "423-345-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LORA",
"middle_name": "HICKMAN",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9716",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "017973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surgoinsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.