Active NPI
Dienye Williams, RPH
- Pharmacist
- Avon, IN
National Provider Identifier
1669018669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26022300A
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26022300A | IN | MD | Pharmacist |
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.