Individual provider Active NPI

William John Cobb, PHARMD

  • Pharmacist
  • Russellville, AR
National Provider Identifier
1356975890
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD09301 Issued in AR
Practice address
108 Skyline Dr Ste B
Russellville, AR 72801-3306
Phone
(479) 968-7180
Fax
(479) 967-0884
NPI assigned
Feb 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD09301 AR Primary

Addresses

Primary practice location

108 Skyline Dr Ste B
Russellville, AR 72801-3306

Mailing address

108 Skyline Dr Ste B
Russellville, AR 72801-3306
Phone (479) 968-7180

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
PD09301ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cobbs Westside Pharmacy Inc CurrentSince Mar 1, 2020 Accepting new patients
Cobbs Westside Pharmacy Inc CurrentSince May 28, 2023 Accepting new patients

Locations

108 Skyline Dr
Ste B
Russellville, AR 72801
Phone (479) 968-7180

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1356975890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SKYLINE DR STE B",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013306",
            "telephone_number": "479-968-7180",
            "fax_number": "479-967-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SKYLINE DR STE B",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013306",
            "telephone_number": "479-968-7180",
            "fax_number": "479-967-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

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