Active NPI
William Henry Clay, RPH
- Pharmacist
- Charlotte, MI
National Provider Identifier
1386279701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302030176
- Practice address
- 301 S Cochran Ave
Charlotte, MI 48813-1518 - Phone
- (517) 543-4905
- NPI assigned
- Mar 5, 2020
- Last updated
- Mar 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11722 | NC | |
| Pharmacist | 183500000X | 5302030176 | MI | Primary |
Addresses
Primary practice location
301 S Cochran Ave
Charlotte, MI 48813-1518
Mailing address
5275 Holt Rd
Holt, MI 48842-9601
Phone (828) 302-9311
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302030176 | MI | MD | Pharmacist |
| 11722 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1386279701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 HOLT RD",
"city": "HOLT",
"state": "MI",
"postal_code": "488429601",
"telephone_number": "828-302-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S COCHRAN AVE",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131518",
"telephone_number": "517-543-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11722",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302030176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.