Active NPI
William Gould
- Pharmacist
- Pekin, IL
National Provider Identifier
1366562670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8278
- Practice address
- 2600 S 2ND St
Pekin, IL 61554-8297 - Phone
- (309) 346-8588
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8278 | NE | Primary |
Addresses
Primary practice location
2600 S 2ND St
Pekin, IL 61554-8297
Mailing address
261 E Hazelwood St
Morton, IL 61550-2867
Phone (309) 266-9910
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366562670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 E HAZELWOOD ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615502867",
"telephone_number": "309-266-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S 2ND ST",
"city": "PEKIN",
"state": "IL",
"postal_code": "615548297",
"telephone_number": "309-346-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "8278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.