Kirk Darren Williamson, P.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD07230 Issued in AR

Practice address

1911 W Parker Rd
Jonesboro, AR 72404-8465

Phone

(870) 972-1060

NPI assigned

Oct 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1295376796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 RIVIERA DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W PARKER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048465",
            "telephone_number": "870-972-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KIRK",
        "middle_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "P.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-05",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdw0078.s00128.us@wal-mart.com",
            "affiliation": "N",
            "address_1": "1911 W Parker Rd",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724048465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Turell Williams
• Victoria Ann Williams
• Wanda Lekeisha Williams, MD
• Yvonne Williams
• Kelley Annette Williamson, R.N.
• Kirk H Williamson, APRN
• Lavatria Williamson, LCSW
• Lindsay Claire Williamson, PTA
• Tracey Lynn Willie
• Ashley Michelle Williford, PT

• Pharmacist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; 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.