NPIMap

Organization Active NPI

Jerry McWilliams Pharmacy Inc.

Doing business as Mc Williams Pharmacy

  • Long Term Care Pharmacy
  • Snyder, TX
National Provider Identifier
1215415831
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5938 Issued in TX
Legal business name
JERRY MCWILLIAMS PHARMACY INC.
Doing business as
Mc Williams Pharmacy
Practice address
3706 College Ave
Snyder, TX 79549-4625
Phone
(325) 573-7582
Fax
(325) 573-9023
NPI assigned
Aug 6, 2018
Last updated
Aug 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Mikel Dee McWilliams, RPHNPI 1619531738
Title
Owner
Phone
(325) 573-7582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 5938 TX Primary

Addresses

Primary practice location

3706 College Ave
Snyder, TX 79549-4625

Mailing address

3706 College Ave
Snyder, TX 79549-4625
Phone (325) 573-7582

Other identifiers 1

IdentifierTypeStateIssuer
142079MedicaidTX

Other names 1

  • Mc Williams Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3706 College Ave
Snyder, TX 79549
Phone (325) 573-7582

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1215415831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 COLLEGE AVE",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795494625",
            "telephone_number": "325-573-7582",
            "fax_number": "325-573-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 COLLEGE AVE",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795494625",
            "telephone_number": "325-573-7582",
            "fax_number": "325-573-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MCWILLIAMS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-573-7582",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "5938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142079",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mc Williams Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mc Williams Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snyder, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.