David Gordon Williams, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00040489 Issued in WA

Practice address

1121 124TH Ave NE
Bellevue, WA 98005-2101

Phone

(425) 201-6293

Fax

(425) 637-2208

NPI assigned

Oct 22, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Interoperability endpoints

• Direct secure messaging: dwilliams126195@wm.providencedirect.org

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1497055693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E COLUMBIA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224636",
            "telephone_number": "425-201-6293",
            "fax_number": "425-637-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 124TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052101",
            "telephone_number": "425-201-6293",
            "fax_number": "425-637-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "GORDON",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00040489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PH00040489",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William C Holliday, MD, PS
• Alex Leigh Williams
• Alicyauna Williams
• Ashley Nicole Williams, LMP
• Billie Lee Williams
• Jake Williams, D.C.
• Janis Lynne Williams, RD
• Julia Williams, MA, LMHCA
• Kim Michele Williams, PHARMD
• Laurie Williams, MD

• Pharmacist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.