William Louis Tatum Jr., BS

Primary specialty

PharmacistTaxonomy code 183500000X

License

05749 Issued in VA

Practice address

425 W Washington St
Suffolk, VA 23434-5320

Phone

(757) 925-2013

NPI assigned

Jul 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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.

• Cavalier Pharma Group Inc

  dba The Prescription Shoppe

  • Pharmacist
  • Suffolk, VA
  • NPI 1023139714
  Authorized official Same address or phone

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326064833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19071 LAKESIDE DR",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238372633",
            "telephone_number": "757-657-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W WASHINGTON ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345320",
            "telephone_number": "757-925-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "WILLIAM",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "05749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID",
            "identifier": "0004449861",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4820999",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sword & Spirit Medical Transportation
• Sword & Spirit Medical Transportation LLC
• Gregory Stuart Syvertson, PT, DPT, CFT,CCI
• Natalie Danielle Tacke, NP
• Tajis Medical Transport LLC
• Taylor Orthodontics PLLC
• Tonya Renee Taylor-Bush, M.A., CSAC, QMHP
• James Alan Taylor, DDS
• Jessica Eve Taylor, FNP-BC
• Thomas T Taylor

• Pharmacist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.