Individual provider Active NPI

Julie Williams, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Beaumont, TX
National Provider Identifier
1548869449
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
38034 Issued in TX
Practice address
3845 Phelan Blvd
Beaumont, TX 77707-2243
Phone
(409) 833-4437
Fax
(409) 833-5184
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 38034 TX Primary

Addresses

Primary practice location

3845 Phelan Blvd
Beaumont, TX 77707-2243

Mailing address

3845 Phelan Blvd
Beaumont, TX 77707-2243
Phone (409) 833-4437

Other identifiers 1

IdentifierTypeStateIssuer
38034OtherTXTEXAS STATE BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie.williams@kroger.com Direct

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

LicenseStateTypeSpecialty
38034TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Texas LP PastSince Oct 25, 2020 Accepting new patients
Kroger Texas L P PastSince Oct 25, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1548869449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072243",
            "telephone_number": "409-833-4437",
            "fax_number": "409-833-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072243",
            "telephone_number": "409-833-4437",
            "fax_number": "409-833-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JULIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "38034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "38034",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.williams@kroger.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3845 Phelan Blvd",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777072243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.