Active NPI
James Zhi Kang Willard
- Student in an Organized Health Care Education/Training Program
- Penfield, NY
National Provider Identifier
1700744612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2157 Penfield Rd
Penfield, NY 14526-1793 - Phone
- (585) 248-3060
- NPI assigned
- Jan 12, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | Primary |
Addresses
Primary practice location
2157 Penfield Rd
Penfield, NY 14526-1793
Mailing address
129 E Main St
Webster, NY 14580-3229
Phone (585) 498-0573
Other practice location 1
900 Holt Rd
Webster, NY 14580-9102
Phone (585) 872-0880
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Webster, NY
- NPI 1548245194
-
- Pharmacy
- Raleigh, NC
- NPI 1467227678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1700744612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E MAIN ST",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145803229",
"telephone_number": "585-498-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261793",
"telephone_number": "585-248-3060"
}
],
"practiceLocations": [
{
"address_1": "900 Holt Rd",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "NY",
"postal_code": "145809102",
"country_code": "US",
"telephone_number": "585-872-0880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLARD",
"first_name": "JAMES",
"middle_name": "ZHI KANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.