Active NPI
Darryl Gerand Williams, CPHT
- Pharmacy Technician
- Phoenix, AZ
National Provider Identifier
1629203138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 8522 N 30TH Dr
Phoenix, AZ 85051-3904 - Phone
- (623) 879-2925
- NPI assigned
- May 28, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
8522 N 30TH Dr
Phoenix, AZ 85051-3904
Mailing address
8522 N 30TH Drive
Phoenix, AZ 85051
Phone (623) 879-2925
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1629203138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8522 N 30TH DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85051",
"telephone_number": "623-879-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8522 N 30TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850513904",
"telephone_number": "623-879-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DARRYL",
"middle_name": "GERAND",
"name_prefix": "Mr.",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.