Phillip G Willmore, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

041146 Issued in MO

Practice address

600 W Karsch Blvd
Farmington, MO 63640-3342

Phone

(573) 747-1591

NPI assigned

Jul 25, 2006

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

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

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.

• Walgreen Co

  • Pharmacy
  • Farmington, MO
  • NPI 1548275571
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1326061805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WOODVINE CT",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407686",
            "telephone_number": "573-431-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403342",
            "telephone_number": "573-747-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMORE",
        "first_name": "PHILLIP",
        "middle_name": "G",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clyde Williams
• Evan Grant Williams, M.D.
• Kelley Shaunta Williams
• Kelly Williams
• Mercedes Williams
• Thomas D Wills III, C.R.N.A
• Benjamin Carl Wilson
• Daniel Sheldon Wilson
• Jessica Ann Wilson
• Kenneth Monroe Wilson, MHO PT SCS ATC

• Pharmacist in Farmington, MO
• Providers in Farmington, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.