Individual provider Active NPI

Casey Benjamin Williams, PHARM.D., BCOP

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sioux Falls, SD
National Provider Identifier
1639172349
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
R5920 Issued in SD
Practice address
1000 E 23Rd St
Suite 200
Sioux Falls, SD 57105-2108
Phone
(605) 322-3588
Fax
(605) 322-6901
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X R5920 SD Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH5472 ND
Pharmacotherapy Pharmacist 1835P1200X 1-13848 KS
Pharmacotherapy Pharmacist 1835P1200X 15481 NC
Oncology Pharmacist 1835X0200X 15481 NC
Oncology Pharmacist 1835X0200X 1-13848 KS

Addresses

Primary practice location

1000 E 23Rd St
Suite 200
Sioux Falls, SD 57105-2108

Mailing address

1000 E 23Rd St
Suite 200
Sioux Falls, SD 57105-2108
Phone (605) 322-3588

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH5472NDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
R5920SDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
1-13848KSMDPharmacotherapy Pharmacist
15481NCMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1639172349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST",
            "address_2": "SUITE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052108",
            "telephone_number": "605-322-3588",
            "fax_number": "605-322-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST",
            "address_2": "SUITE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052108",
            "telephone_number": "605-322-3588",
            "fax_number": "605-322-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CASEY",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SD",
            "license": "R5920",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ND",
            "license": "RPH5472",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KS",
            "license": "1-13848",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NC",
            "license": "15481",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "NC",
            "license": "15481",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "KS",
            "license": "1-13848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.