Jeffrey Nicholas Williams, RPH

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

19560 Issued in AL

Practice address

4579 Wall Triana Hwy
Madison, AL 35758-9305

Phone

(256) 461-8530

NPI assigned

Apr 10, 2015

Last updated

Jun 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Alabama CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #04884

  • Pharmacy
  • Madison, AL
  • NPI 1417050154
  NPD
• Kroger Limited Partnership I

  dba Kroger Pharmacy #605

  • Community/Retail Pharmacy
  • Madison, AL
  • NPI 1013368216

  Clinic Pharmacy

  NPD (past)
• Kroger Limited Partnership I

  dba Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1295121820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 WALL TRIANA HWY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589305",
            "telephone_number": "256-461-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 WALL TRIANA HWY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589305",
            "telephone_number": "256-461-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Brazzell Rd",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "37055",
            "country_code": "US",
            "telephone_number": "615-557-8818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8503 Old Madison Pike",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357581124",
            "country_code": "US",
            "telephone_number": "256-461-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "NICHOLAS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "19560",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "AL",
            "license": "19560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra M Williams, RBT
• Amanda Kate Williams, LPC
• Darissa Williams, LICSW
• Edward Leon Williams, PA-C
• Hunter Williams
• Jennifer Lynn Williams
• Karol Victoria Williams, PT
• Kristy Leanne Williams, CRNP
• Ryan Neal Williams, PHARMD
• Sabrina Williams

• Clinic Pharmacy in Madison, AL
• Providers in Madison, AL by specialty
• Clinic Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.