Jerry McWilliams Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05938 Issued in TX

Legal business name

JERRY MCWILLIAMS PHARMACY INC

Doing business as

McWilliams Pharmacy

Practice address

3706 College Ave
Snyder, TX 79549-4625

Phone

(325) 573-7582

Fax

(325) 573-9023

NPI assigned

Oct 3, 2006

Last updated

Jan 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikel Dee McWilliams, RPHNPI 1619531738

Title

Owner

Phone

(325) 573-7582

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McWilliams Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikel Dee McWilliams, RPH

  • Pharmacist
  • Snyder, TX
  • NPI 1619531738
  NPD Authorized official
• Julie Tyann Bynum, RPH

  • Pharmacist
  • Snyder, TX
  • NPI 1528622651
  NPD (past)
• David Strayhorn, PHARM.D

  • Pharmacist
  • Snyder, TX
  • NPI 1134720642
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1497849251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 COLLEGE AVE",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795494625",
            "telephone_number": "325-573-7582",
            "fax_number": "325-573-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 COLLEGE AVE",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795494625",
            "telephone_number": "325-573-7582",
            "fax_number": "325-573-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MCWILLIAMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-573-7582",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142079",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4531871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McWilliams Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry Gamos Hombrebueno
• Home Health of West Texas, LLC
• Kevin Andrew Hough, D.O.
• Anita Lee Hunter, LCSW
• Juanita June Isbell, LMFT, LSSP, NCSP
• Jerry McWilliams Pharmacy Inc. (Mc Williams Pharmacy)
• Cheryl Ann Kelley, NP
• Jared Kennedy, M.D.
• David Clark Kerr, MD
• Thomas L Kerr, MD

• Community/Retail Pharmacy in Snyder, TX
• Providers in Snyder, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.