Active NPI
Ricky D Williams, RPH
- Pharmacist
- Thomaston, GA
National Provider Identifier
1508827171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH011359
- Practice address
- 500 W Gordon St
Thomaston, GA 30286-3415 - Phone
- (706) 647-8965
- NPI assigned
- Mar 31, 2006
- Last updated
- Jul 8, 2007
- 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 | RPH011359 | GA | Primary |
Addresses
Primary practice location
500 W Gordon St
Thomaston, GA 30286-3415
Mailing address
500 W Gordon St
Thomaston, GA 30286-3415
Phone (706) 647-8965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00037067A | Medicaid | GA |
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 |
|---|---|---|---|
| RPH011359 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CWG Investments | Past | Accepting new patients | |
| Red Clay Ventures, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Thomaston Prescription Shop
- Community/Retail Pharmacy
- Thomaston, GA
- NPI 1235277021
-
dba Thomaston Prescription Shop
- Community/Retail Pharmacy
- Thomaston, GA
- NPI 1275471096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508827171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W GORDON ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863415",
"telephone_number": "706-647-8965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W GORDON ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863415",
"telephone_number": "706-647-8965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RICKY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH011359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00037067A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thomaston, GA
- Tajanai Nakylar Elizabeth Wilkins
- Thomas Edward Wilkins, LDO
- William B. Gardner, D.M.D. P.C.
- Ashley Michelle Williams-Hernandez, M.D.
- Benjamin Paul Williams, MD
- Tammie Ann Williams, NP-C
- Meredith Cook Willis, PHARMD
- Caitlee Juanita Wilson, PHARMD
- Jancey Shellnutt Wilson, LPC
- Andrea Carter Wolverton, LMFT, CADC II
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.