Michael Jed Williams, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26027786A Issued in IN

Practice address

2345 E Markland Ave
Kokomo, IN 46901-6245

Phone

(765) 868-4798

Fax

(765) 868-4923

NPI assigned

Jun 24, 2020

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

Doctor of Pharmacy

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
  • Kokomo, IN
  • NPI 1356497002
  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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1346866472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E MARKLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469016245",
            "telephone_number": "765-868-4798",
            "fax_number": "765-868-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E MARKLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469016245",
            "telephone_number": "765-868-4798",
            "fax_number": "765-868-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "JED",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26027786A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Marie Williams
• Justina Williams, RN
• Katherine Marie Williams, MD
• Latoya Williams
• Megan Lee Williams
• Ronald Williams, LCSW, CADAC II
• Shannon Williams, RBT
• Cora Rose Marie Willits
• Willowcare Home Health Care, LLC
• Tyrelle Wills

• Pharmacist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.