Individual provider Active NPI

Dienye Williams, RPH

  • Pharmacist
  • Avon, IN
National Provider Identifier
1669018669
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26022300A Issued in IN
Practice address
108 North Sr 267
Avon, IN 46123
Phone
(317) 272-4135
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26022300A IN Primary

Addresses

Primary practice location

108 North Sr 267
Avon, IN 46123

Mailing address

366 Kelley LN
Brownsburg, IN 46112-7738
Phone (317) 501-9643

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Kroger Direct
CONNECT URL Kroger Other
CONNECT URL Kroger Other
CONNECT URL Kroger 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
26022300AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1669018669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 KELLEY LN",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127738",
            "telephone_number": "317-501-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTH SR 267",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DIENYE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022300A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kroger",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 North SR 267",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kroger",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Customer Care",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Customer Care",
            "address_1": "108 North SR 267",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kroger",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Customer Care",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Customer Care",
            "address_1": "108 North SR 267",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kroger",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 North SR 267",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.