Individual provider Active NPI

Casey Dean Williams, PHARM.D

  • Pharmacist
  • Arkadelphia, AR
National Provider Identifier
1376732305
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD08798 Issued in AR
Practice address
2800 Pine St
#5 Pine Plaza
Arkadelphia, AR 71923-5321
Phone
(870) 246-2015
Fax
(870) 246-2915
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD08798 AR Primary

Addresses

Primary practice location

2800 Pine St
#5 Pine Plaza
Arkadelphia, AR 71923-5321

Mailing address

38529 Highway 67
Donaldson, AR 71941-8217
Phone (501) 384-5499

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
PD08798ARMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1376732305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38529 HIGHWAY 67",
            "city": "DONALDSON",
            "state": "AR",
            "postal_code": "719418217",
            "telephone_number": "501-384-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PINE ST",
            "address_2": "#5 PINE PLAZA",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235321",
            "telephone_number": "870-246-2015",
            "fax_number": "870-246-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CASEY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD08798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.