William Humphrey Doares III, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

12431 Issued in NC

Practice address

Wake Forest Baptist Health
Medical Center Boulevard
Winston Salem, NC 27157-0001

Phone

(336) 713-9410

Fax

(336) 713-3401

NPI assigned

Oct 13, 2011

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1447535109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST HEALTH",
            "address_2": "MEDICAL CENTER BOULEVARD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-9410",
            "fax_number": "336-713-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST HEALTH",
            "address_2": "MEDICAL CENTER BOULEVARD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-9410",
            "fax_number": "336-713-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOARES",
        "first_name": "WILLIAM",
        "middle_name": "HUMPHREY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "12431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilka Alexandria Dixon, LCSWA
• Kayla Nelson Dixon, LCSW
• Kristopher Lin Dixon, MD
• Natalia Dixon, MD
• Ryan Dixon
• John Edwin Dobbins, PAC
• Marshall Ann Dobbins
• Raegan Dobbins, RN, BSN, NNP-BC
• Tomasz Pawel Dobrzanski, MD
• Dobson Health & Wellness PLLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.