Individual provider Active NPI

William C Bonner, RPH

  • Pharmacist
  • Columbus, MS
National Provider Identifier
1770830796
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-8207 Issued in MS
Practice address
2320 5TH St N
Columbus, MS 39705-2214
Phone
(662) 328-4300
Fax
(662) 328-4306
NPI assigned
Aug 8, 2012
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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-8207 MS Primary

Addresses

Primary practice location

2320 5TH St N
Columbus, MS 39705-2214

Mailing address

2320 5TH St N
Columbus, MS 39705-2214
Phone (662) 328-4300

Other identifiers 1

IdentifierTypeStateIssuer
11547OtherMSMISSISSIPPI CONTROLLED REGISTRATION CS11547

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-8207MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Pharmacy LLC Current Accepting new patients
Chris' Pharmacy and Sons Too Current Accepting new patients

Locations

2320 5th St N
Columbus, MS 39705
Phone (662) 328-4300

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1770830796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052214",
            "telephone_number": "662-328-4300",
            "fax_number": "662-328-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052214",
            "telephone_number": "662-328-4300",
            "fax_number": "662-328-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-8207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI CONTROLLED REGISTRATION CS11547",
            "identifier": "11547",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.