Active NPI
Craig Harold Wills, R.PH.
- Pharmacist
- Keokuk, IA
National Provider Identifier
1831230887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17681
- Practice address
- 420 N 17TH St
Keokuk, IA 52632-3452 - Phone
- (319) 524-4811
- Fax
- (319) 524-8911
- NPI assigned
- Feb 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17681 | IA | Primary |
Addresses
Primary practice location
420 N 17TH St
Keokuk, IA 52632-3452
Mailing address
29 N Oak Dr
Keokuk, IA 52632-2129
Phone (319) 524-6314
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17681 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831230887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 N OAK DR",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322129",
"telephone_number": "319-524-6314",
"fax_number": "319-524-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N 17TH ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526323452",
"telephone_number": "319-524-4811",
"fax_number": "319-524-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "CRAIG",
"middle_name": "HAROLD",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.