Williams Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0002798-CS Issued in OR

Legal business name

WILLIAMS PHARMACY LLC

Practice address

67195 E Highway 26
Welches, OR 97067-9761

Phone

(503) 622-1516

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Donald Williams, RPH

Title

Pharmacist

Phone

(503) 622-2524

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1326484338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67195 E HIGHWAY 26",
            "city": "WELCHES",
            "state": "OR",
            "postal_code": "970679761",
            "telephone_number": "503-622-1516",
            "fax_number": "503-564-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67195 E HIGHWAY 26",
            "city": "WELCHES",
            "state": "OR",
            "postal_code": "970679761",
            "telephone_number": "503-622-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-622-2524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0002798-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Medical Foundation of Tillamook (Adventist Health Tillamook Medical Group Hoodland)
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• Ian Z Schroeder, LPC, CADC III
• Janet S. Whitacre, LMT
• Genevieve White

• Community/Retail Pharmacy in Welches, OR
• Providers in Welches, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.