Active NPI
Stacey W Williams, PHARMD
- Pharmacist
- Santa Fe, NM
National Provider Identifier
1225036635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11154
- Practice address
- 1700 Cerrillos Rd
Santa Fe Indian Hospital - Pharmacy Dept
Santa Fe, NM 87505-3554 - Phone
- (505) 946-9387
- NPI assigned
- Jul 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11154 | NE | Primary |
Addresses
Primary practice location
1700 Cerrillos Rd
Santa Fe Indian Hospital - Pharmacy Dept
Santa Fe, NM 87505-3554
Mailing address
1700 Cerrillos Rd
Santa Fe Indian Hospital- Pharmacy Department
Santa Fe, NM 87505-0000
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 |
|---|---|---|---|
| 11154 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1225036635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CERRILLOS RD",
"address_2": "SANTA FE INDIAN HOSPITAL- PHARMACY DEPARTMENT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875050000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CERRILLOS RD",
"address_2": "SANTA FE INDIAN HOSPITAL - PHARMACY DEPT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053554",
"telephone_number": "505-946-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STACEY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-09",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.