Elizabeth Ashley Willis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

35834 Issued in TN

Practice address

1355 W Market St
Bolivar, TN 38008-1715

Phone

(731) 658-5271

Fax

(731) 658-0870

NPI assigned

Aug 18, 2015

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

Other names 1

• Dr. Ashley Willis Other name

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

Locations

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.

• Southern Express Pharmacy

  • Pharmacy
  • Bolivar, TN
  • NPI 1073078481
  NPD Authorized official

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1861868465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081715",
            "telephone_number": "731-472-1011",
            "fax_number": "731-212-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081715",
            "telephone_number": "731-658-5271",
            "fax_number": "731-658-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "35834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WILLIS",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Whitehurst, MD
• Darshanula Wilkes
• Bruce Wilks, LADAC
• Emylee Ann Williams, OTR/L
• Kayla Williams, APRN, DNP, PMHNP-BC
• Tanya S Willis
• Joselyn Wilson, PSYCHOLOGY
• Mary Wilson
• Thomas Gregory Wilson, DDS
• Sherwin A Yaffe, M.D.

• Pharmacist in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.