Individual provider Active NPI

Jennifer Marie Williams, PHARM D

  • Pharmacist
  • Seneca, SC
National Provider Identifier
1356471155
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH019664 Issued in GA
Practice address
1636 Sandifer Blvd
Seneca, SC 29678-0906
Phone
(864) 885-0119
NPI assigned
Mar 7, 2007
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60262 SC
Pharmacist 183500000X RPH019664 GA Primary

Addresses

Primary practice location

1636 Sandifer Blvd
Seneca, SC 29678-0906

Mailing address

426 E Cedar Rock St
Pickens, SC 29671-2308
Phone (912) 230-3044

Other practice location 1

651 Highway 28 Byp
Anderson, SC 29624-3009
Phone (864) 261-7459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH019664GAMDPharmacist
60262SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Pharmacy LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1356471155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E CEDAR ROCK ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712308",
            "telephone_number": "912-230-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 SANDIFER BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780906",
            "telephone_number": "864-885-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Highway 28 Byp",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296243009",
            "country_code": "US",
            "telephone_number": "864-261-7459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60262",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.