Prisca Williams
Individual provider Active NPI Pharmacist · Dallas, TX
NPI 1770185100 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1770185100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 55656 (TX)
- Practice address
- 123 W Main St
Dallas, TX 75208-1929 - Phone
- (123) 456-7899
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55656 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arixat Inc | Current | Accepting new patients | |
| Lyxx Care Inc | Current |
Accepting new patients | |
| 5TH Wing | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55656 | TX | Yes |
Addresses
Primary practice location
123 W Main St
Dallas, TX 75208-1929
Mailing address
6920 Marigold CT
Plano, TX 75074-8922
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.