Kevin Matthew Williams, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02833400 Issued in NJ

Practice address

136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725

Phone

(856) 380-1828

Fax

(568) 291-7009

NPI assigned

Sep 9, 2010

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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.

• Integrated Medication Management LLC

  dba HomeFree Pharmacy Services

  • Long Term Care Pharmacy
  • Mount Laurel, NJ
  • NPI 1588194922
  Authorized official Same address or phone

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1730496951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 GAITHER DR STE 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541725",
            "telephone_number": "856-380-1828",
            "fax_number": "568-291-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 GAITHER DR STE 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541725",
            "telephone_number": "856-380-1828",
            "fax_number": "568-291-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16134",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0010387",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02833400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbra Wilen, OTR/L
• Dana Lynn Willerton, PA-C
• William L. Shinefield (Clinical Psychologist)
• Afton Williams
• Ashana Evette Williams, PH.D
• Willow Creek
• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-New Jersey, Inc.
• Wilscot Lamont (HOV Rides)
• Margaret O Wilson-Pearson, LCSW

• Pharmacist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.