Active NPI
William Bryant Pender III, PHARM D
- Pharmacist
- Starkville, MS
National Provider Identifier
1881101574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-15237
- Practice address
- 105 Market St
Starkville, MS 39759 - Phone
- (662) 270-6296
- NPI assigned
- Jan 4, 2018
- 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 | T-15237 | MS | Primary |
Addresses
Primary practice location
105 Market St
Starkville, MS 39759
Mailing address
105 Market St
Starkville, MS 39759
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-15237 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1881101574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARKET ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "39759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARKET ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "39759",
"telephone_number": "662-270-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDER",
"first_name": "WILLIAM",
"middle_name": "BRYANT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-15237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.