Active NPI
William De Witt Buckley, B.S.
- Pharmacist
- Federal Way, WA
National Provider Identifier
1710282264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00011592
- Practice address
- 34008 Hoyt Rd SW
Federal Way, WA 98023-3208 - Phone
- (253) 838-5963
- Fax
- (253) 838-6417
- NPI assigned
- Jan 13, 2011
- Last updated
- Jan 13, 2011
- 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 | PH00011592 | WA | Primary |
Addresses
Primary practice location
34008 Hoyt Rd SW
Federal Way, WA 98023-3208
Mailing address
34008 Hoyt Rd SW
Federal Way, WA 98023-3208
Phone (253) 838-5963
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00011592 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1710282264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34008 HOYT RD SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980233208",
"telephone_number": "253-838-5963",
"fax_number": "253-838-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34008 HOYT RD SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980233208",
"telephone_number": "253-838-5963",
"fax_number": "253-838-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "WILLIAM",
"middle_name": "DE WITT",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-13",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00011592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.