Willie Lee Douglas, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

53922 Issued in TX

Practice address

203 E Jefferson Ave
Suite 703
Whitney, TX 76692-2302

Phone

(254) 694-2249

Fax

(254) 694-6495

NPI assigned

Sep 6, 2013

Last updated

May 24, 2016By the provider in NPPES

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

Other names 1

• Mr. Will Lee Douglas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crimson Care Pharmacy Group I., LLC

  dba Prescription Pharmacy

  • Community/Retail Pharmacy
  • Whitney, TX
  • NPI 1104981216
  NPD Authorized official
• Crimson Care Pharmacy Group I., LLC

  dba Prescription Pharmacy

  • Long Term Care Pharmacy
  • Whitney, TX
  • NPI 1396446498
  NPD Authorized official

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1447685649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "76692",
            "telephone_number": "254-694-2249",
            "fax_number": "254-694-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E JEFFERSON AVE",
            "address_2": "SUITE 703",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766922302",
            "telephone_number": "254-694-2249",
            "fax_number": "254-694-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "WILLIE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILL",
            "last_name": "DOUGLAS",
            "middle_name": "LEE",
            "prefix": "MR.",
            "credential": "PHARM D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Faye Clinton, FNP-C
• Richard Edward Cofer Jr., DDS
• Kandace Renae Collins, D.D.S
• Crimson Care Pharmacy Group I., LLC (Prescription Pharmacy)
• Crimson Care Pharmacy Group I., LLC (Prescription Pharmacy)
• James D Drees, P.A.
• Cade Yocham Erwin, DDS
• Eshna Inc. (Lake Whitney Physicians Clinic)
• Eshna, Inc (Lake Whitney Home Health Services)
• Eshna, Inc. (Hill County Primary Care)

• Pharmacist in Whitney, TX
• Providers in Whitney, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.