John Willis

Primary specialty

PharmacistTaxonomy code 183500000X

License

9006 Issued in AZ

Practice address

6131 E Southern Ave
Mesa, AZ 85206-3732

Phone

(480) 830-4229

Fax

(480) 654-9136

NPI assigned

Jan 18, 2014

Last updated

Jan 18, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390003200000",
    "number": "1356763791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063732",
            "telephone_number": "480-830-4229",
            "fax_number": "480-654-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063732",
            "telephone_number": "480-830-4229",
            "fax_number": "480-654-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-18",
        "last_updated": "2014-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "9006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad P. Williamson, D.C.
• Nikita Rae Williamson, M.S., SLP-CF
• Marcus Allen Willingham
• Chad Riley Willis Jr., LPC
• Jay Ronald Willis, DC
• Kathy Renee Willis
• Lashawn R Willis
• Patricia Willis
• Taylor Willis, DO
• Kurtis L Willman

• Pharmacist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.