Jaqueisha R Williams, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS60215 Issued in FL

Practice address

205 W Madison St
Starke, FL 32091-3921

Phone

(904) 964-2389

Fax

(904) 964-2389

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Starke, FL
  • NPI 1801931787
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1780273193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MADISON ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913921",
            "telephone_number": "904-964-2389",
            "fax_number": "904-964-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MADISON ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913921",
            "telephone_number": "904-964-2389",
            "fax_number": "904-964-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAQUEISHA",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS60215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrod Warren Jr.
• Matthew Watkinson
• Reagan Weller
• Dean Stanton White, M.D.
• April Lynn Whitney, HIS
• Marcia Williams, APRN
• Tammy Jean Williams, ARNP
• Marilyn Marie Wilson
• Windsor Center Operations LLC
• Womens Health of North Central Florida, PLLC

• Pharmacist in Starke, FL
• Providers in Starke, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.