Active NPI
William Derrell Dreher
- Pharmacist
- Little Rock, AR
National Provider Identifier
1669011839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07258
- Practice address
- 6420 Colonel Glenn Rd
Little Rock, AR 72204-7724 - Phone
- (501) 565-0188
- Fax
- (501) 565-9616
- NPI assigned
- Jan 5, 2020
- Sex
- Male
- Sole proprietor
- No
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 | PD07258 | AR | Primary |
Addresses
Primary practice location
6420 Colonel Glenn Rd
Little Rock, AR 72204-7724
Mailing address
12125 Dreher Rd
Little Rock, AR 72206-4783
Phone (501) 658-0450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD07258 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578182400000",
"number": "1669011839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12125 DREHER RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722064783",
"telephone_number": "501-658-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 COLONEL GLENN RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722047724",
"telephone_number": "501-565-0188",
"fax_number": "501-565-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREHER",
"first_name": "WILLIAM",
"middle_name": "DERRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-05",
"last_updated": "2020-01-05",
"certification_date": "2020-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD07258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.