Stephen Williams, PHARMD
Individual provider Active NPI Pharmacist · Waldron, AR
NPI 1376905422 · NPPES record last updated Mar 27, 2016
Key facts
- NPI
- 1376905422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD 11259 (AR)
- Practice address
- 1125 W 2ND St
Waldron, AR 72958-7455 - Phone
- (479) 637-4197
- NPI assigned
- Mar 27, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD 11259 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD 11259 | AR | Yes |
Addresses
Primary practice location
1125 W 2ND St
Waldron, AR 72958-7455
Mailing address
1125 W 2ND St
Waldron, AR 72958-7455
Phone (479) 637-4197
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305959 | Other | NABP |
Other providers in Waldron, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.