Active NPI
Desirea Williams
- Pharmacy Technician
- Baton Rouge, LA
National Provider Identifier
1831826007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 015171
- Practice address
- 3132 College Dr
Baton Rouge, LA 70808-3180 - Phone
- (225) 952-0776
- NPI assigned
- Aug 6, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 015171 | LA | Primary |
Addresses
Primary practice location
3132 College Dr
Baton Rouge, LA 70808-3180
Mailing address
5483 Howell Park Ave
Baton Rouge, LA 70805-6234
Phone (225) 573-9121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015171 | Other | LA | PHARMACY TECH LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | d0w05vw.s01206@stores.us.wal-mart.com | Direct | WAL-MART STORES EAST LP |
| Direct Messaging Address | d0w05vw.s011206@stores.us.wal-mart.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015171 | LA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1831826007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5483 HOWELL PARK AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708056234",
"telephone_number": "225-573-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 COLLEGE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083180",
"telephone_number": "225-952-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DESIREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-06",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "LA",
"license": "015171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECH LICENSE",
"identifier": "015171",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "d0w05vw.s01206@stores.us.wal-mart.com",
"affiliation": "Y",
"affiliationName": "WAL-MART STORES EAST LP",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3132 College Dr",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708083180",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "d0w05vw.s011206@stores.us.wal-mart.com",
"affiliation": "N",
"endpointDescription": "Walmart",
"address_1": "3132 College Dr",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708083180",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.