Active NPI
William Eugene Fisher
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1497858682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 008020
- Practice address
- 5050 Edgewood CT
Jacksonville, FL 32254-3601 - Phone
- (904) 370-5020
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 008020 | SC | Primary |
Addresses
Primary practice location
5050 Edgewood CT
Jacksonville, FL 32254-3601
Mailing address
1512 Drury CT
St Augustine, FL 32092-1084
Phone (904) 826-3449
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008020 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497858682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 DRURY CT",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320921084",
"telephone_number": "904-826-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 EDGEWOOD CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322543601",
"telephone_number": "904-370-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "WILLIAM",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "008020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.