Individual provider Active NPI

William Eric Poff, R.PH.

  • Pharmacist
  • Tunica, MS
National Provider Identifier
1740720739
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-08786 Issued in MS
Practice address
1181 Main St
Tunica, MS 38676-9176
Phone
(662) 363-1431
Fax
(662) 363-9966
NPI assigned
Feb 24, 2017
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-08786 MS Primary

Addresses

Primary practice location

1181 Main St
Tunica, MS 38676-9176

Mailing address

PO Box 7
Tunica, MS 38676-0007
Phone (662) 363-1431

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
E-08786MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tunica Pharmacy, Inc. Current Accepting new patients
Henderson Drugs, Inc Pharmacist Current Accepting new patients
Clarksdale Pharmacy, LLC Current Accepting new patients

Locations

1181 Main St
Tunica, MS 38676
Phone (662) 363-1431

Organizations & group practices 3

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1740720739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "TUNICA",
            "state": "MS",
            "postal_code": "386760007",
            "telephone_number": "662-363-1431",
            "fax_number": "662-363-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 MAIN ST",
            "city": "TUNICA",
            "state": "MS",
            "postal_code": "386769176",
            "telephone_number": "662-363-1431",
            "fax_number": "662-363-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFF",
        "first_name": "WILLIAM",
        "middle_name": "ERIC",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-08786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunica, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.