Fort Williams Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113273 Issued in AL

Legal business name

FORT WILLIAMS PHARMACY, LLC

Practice address

401 W Fort Williams St
Sylacauga, AL 35150-2435

Phone

(256) 207-2007

Fax

(256) 207-2008

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Chad LightseyNPI 1730588708

Title

Owner

Phone

(256) 404-6165

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fort Williams Pharmacy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Lightsey

  • Pharmacist
  • Sylacauga, AL
  • NPI 1730588708
  NPD Authorized official
• Timothy Lightsey, PHARMD

  • Pharmacist
  • Sylacauga, AL
  • NPI 1861057465
  NPD (past)

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1689808917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502435",
            "telephone_number": "256-207-2007",
            "fax_number": "256-207-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502435",
            "telephone_number": "256-207-2007",
            "fax_number": "256-207-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WILLIAMS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "LIGHTSEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-404-6165"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Williams Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Eye Care of Sylacauga LLC
• Stephanie Farr, PHARM.D.
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Erin Humbles Fonbah, PHARM.D.
• Denice Foster, HP,ND
• Tinsley Smallwood Franklin, CRNP
• William C Friday Jr., M.D.
• Madison Gallman
• Clifton Garris, M.D.

• All providers in Sylacauga, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.