Active NPI
Tyree Williams
- Pharmacist
- University Place, WA
National Provider Identifier
1699298760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60884534
- Practice address
- 7512 50TH St W
University Place, WA 98467-4572 - Phone
- (125) 331-2382
- Fax
- (253) 312-3828
- NPI assigned
- Jul 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 60468409 | WA | |
| Pharmacist | 183500000X | PH60884534 | WA | Primary |
Addresses
Primary practice location
7512 50TH St W
University Place, WA 98467-4572
Mailing address
7512 50TH St W
University Place, WA 98467-4572
Phone (253) 312-3828
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 |
|---|---|---|---|
| PH60884534 | WA | MD | Pharmacist |
| 60468409 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1699298760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 50TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984674572",
"telephone_number": "12533123828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 50TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984674572",
"telephone_number": "125-331-2382",
"fax_number": "253-312-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TYREE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "60468409",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60884534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.