Individual provider Active NPI

William Bailey Winburn II, PHARMACIST

  • Pharmacist
  • Florence, SC
National Provider Identifier
1386065118
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7727 Issued in SC
Practice address
Sams Club 6571
200 North Beltline Drive
Florence, SC 29501
Phone
(843) 662-2769
NPI assigned
Dec 20, 2013
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7727 SC Primary

Addresses

Primary practice location

Sams Club 6571
200 North Beltline Drive
Florence, SC 29501

Mailing address

235 S Winburn Dr
Florence, SC 29501-7729
Phone (843) 245-6758

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

State licenses

LicenseStateTypeSpecialty
7727SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1386065118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S WINBURN DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017729",
            "telephone_number": "843-245-6758",
            "fax_number": "843-664-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAMS CLUB 6571",
            "address_2": "200 NORTH BELTLINE DRIVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-662-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBURN",
        "first_name": "WILLIAM",
        "middle_name": "BAILEY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-20",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.