Active NPI
Lydia Williams, RPH
- Pharmacist
- Evans, GA
National Provider Identifier
1689118770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 021276
- Practice address
- 4469 Washington Rd
Evans, GA 30809-3807 - Phone
- (706) 854-1516
- Fax
- (706) 854-1507
- NPI assigned
- Dec 8, 2016
- 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 | RPH 021276 | GA | Primary |
Addresses
Primary practice location
4469 Washington Rd
Evans, GA 30809-3807
Mailing address
4469 Washington Rd
Evans, GA 30809-3807
Phone (706) 854-1516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH021276 | Other | GA | GA PHARMACY LICENSE |
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 |
|---|---|---|---|
| RPH 021276 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1689118770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4469 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308093807",
"telephone_number": "706-854-1516",
"fax_number": "706-854-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4469 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308093807",
"telephone_number": "706-854-1516",
"fax_number": "706-854-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LYDIA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH 021276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA PHARMACY LICENSE",
"identifier": "RPH021276",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.