Adam Williams

Primary specialty

PharmacyTaxonomy code 333600000X

License

03225105 Issued in OH

Practice address

1607 Amherst Rd NE
Massillon, OH 44646-4183

Phone

(330) 413-1509

Fax

(330) 809-0188

NPI assigned

Nov 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thorncherry Pharmacy LTC

  • Long Term Care Pharmacy
  • Massillon, OH
  • NPI 1114705043
  NPD Authorized official
• Thorncherry RX LLC

  • Community/Retail Pharmacy
  • Massillon, OH
  • NPI 1932632973
  NPD Authorized official

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1427651231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464183",
            "telephone_number": "330-413-1509",
            "fax_number": "330-809-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464183",
            "telephone_number": "330-413-1509",
            "fax_number": "330-809-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "03225105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Whitlock, LPN
• Christina Marie Whitt, CDCA
• Carrie Wiesen
• Raegan L Wigfield, RMA/STNA
• Jefferie Michael Wilhelm, NP-C
• Constance Kay Williams, MT(ASCP)
• Kelly Angelic Williams, LPN
• Mia L Williams, LPN
• Raquel Lyn Williams
• Scott D. Williams, M.D.

• Pharmacy in Massillon, OH
• Providers in Massillon, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.