Active NPI
William R Horton, R.PH.
- Pharmacist
- Galax, VA
National Provider Identifier
1417020876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202005493
- Practice address
- 200 Hospital Dr
Galax, VA 24333-2227 - Phone
- (276) 236-1750
- Fax
- (276) 236-1709
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202005493 | VA | Primary |
| Pharmacist | 183500000X | 14627 | NC |
Addresses
Primary practice location
200 Hospital Dr
Galax, VA 24333-2227
Mailing address
316 Fox Run Dr
Galax, VA 24333-3341
Phone (276) 236-4458
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 |
|---|---|---|---|
| 14627 | NC | MD | Professional Counselor |
| 0202005493 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417020876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 FOX RUN DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243333341",
"telephone_number": "276-236-4458",
"fax_number": "276-236-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332227",
"telephone_number": "276-236-1750",
"fax_number": "276-236-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005493",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14627",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galax, VA
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.