Active NPI
Mark O Williams
- Pharmacist
- Hickory, NC
National Provider Identifier
1679837017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05096
- Practice address
- 2225 12TH Ave NE
Hickory, NC 28601-3188 - Phone
- (828) 256-6456
- Fax
- (828) 256-2793
- NPI assigned
- Jun 29, 2012
- Last updated
- Jun 29, 2012
- 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 | 05096 | NC | Primary |
Addresses
Primary practice location
2225 12TH Ave NE
Hickory, NC 28601-3188
Mailing address
2225 12TH Ave NE
Hickory, NC 28601-3188
Phone (828) 256-6456
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 |
|---|---|---|---|
| 05096 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1679837017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 12TH AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013188",
"telephone_number": "828-256-6456",
"fax_number": "828-256-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 12TH AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013188",
"telephone_number": "828-256-6456",
"fax_number": "828-256-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARK",
"middle_name": "O",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "05096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.