Active NPI
Ronnie D Willard, RPH
- Pharmacist
- Raleigh, NC
National Provider Identifier
1477078624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11061
- Practice address
- 10050 Glenwood Ave
Raleigh, NC 27617-8436 - Phone
- (479) 586-5842
- NPI assigned
- Aug 9, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11061 | NC | Primary |
Addresses
Primary practice location
10050 Glenwood Ave
Raleigh, NC 27617-8436
Mailing address
10050 Glenwood Ave
Raleigh, NC 27617-8436
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 |
|---|---|---|---|
| 11061 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1477078624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 GLENWOOD AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 GLENWOOD AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178436",
"telephone_number": "479-586-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "RONNIE",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-09",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.