Bradford Williamson, PHARM D

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

11890421-1701 Issued in UT

Practice address

4393 S Riverboat Rd Ste 100
Taylorsville, UT 84123-2527

Phone

(508) 838-5181

NPI assigned

Nov 9, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1306502885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 S RIVERBOAT RD STE 100",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4393 S RIVERBOAT RD STE 100",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232527",
            "telephone_number": "508-838-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "BRADFORD",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "UT",
            "license": "11890421-1701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH- PHARMACIST LICENSE",
            "identifier": "11890421-1701",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradford.williamson@imail.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "4393 S Riverboat Rd Ste 100",
            "city": "Taylorsville",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841232527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Theresa Williams
• Olivia Williams
• Rasela Williams
• Tucker Williams
• Zachary Williams
• Shianne Willis
• Chayne Willits
• Devin Willson, BT
• Christina Wilmot
• Alexa Wilson

• Ambulatory Care Pharmacist in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Ambulatory Care Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.