Active NPI
Erin Williams, PHARMD, RPH
- Pharmacist
- Mayville, WI
National Provider Identifier
1306190269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16311-40
- Practice address
- 1448 Horicon St
Mayville, WI 53050-1467 - Phone
- (920) 644-2080
- Fax
- (920) 644-2208
- NPI assigned
- Oct 30, 2012
- 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 | 16311-40 | WI | Primary |
Addresses
Primary practice location
1448 Horicon St
Mayville, WI 53050-1467
Mailing address
700 Washington St
Horicon, WI 53032-1655
Phone (920) 485-3400
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16311-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayville Hometown Pharmacy LLC | Current | Accepting new patients |
Locations
1448 Horicon St
Mayville, WI 53050
Phone (920) 644-2080
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Mayville, WI
- NPI 1790244473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1306190269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WASHINGTON ST",
"city": "HORICON",
"state": "WI",
"postal_code": "530321655",
"telephone_number": "920-485-3400",
"fax_number": "920-485-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 HORICON ST",
"city": "MAYVILLE",
"state": "WI",
"postal_code": "530501467",
"telephone_number": "920-644-2080",
"fax_number": "920-644-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ERIN",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16311-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.