Melvin Lee Williams, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

12089-040 Issued in WI

Practice address

4415 State Road 16
La Crosse, WI 54601-1815

Phone

(608) 317-9220

NPI assigned

Apr 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1619612140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011815",
            "telephone_number": "608-317-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011815",
            "telephone_number": "608-317-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12089-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Retail chain website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4415 State Road 16",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546011815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.walgreen.com",
            "affiliation": "N",
            "endpointDescription": "Retail chain",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information",
            "address_1": "4415 State Road 16",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546011815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eileen Williams, PA
• Kayla Sue Williams, C.O.T.A.
• Leah Elizabeth Williams, MS COUNSELING
• Mallory Jane Williams, PHARMD
• Matthew Williams
• Terri Anne Williams, COTA
• Trista Marie Williams, AU.D.
• Martin Jon Williamson, OD
• Joshua Williford, P.A.
• Willow Creek Counseling LLC

• Pharmacist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.