Individual provider Active NPI

William Linnie Gerrard Jr., R.PH.

  • Pharmacist
  • Locust Grove, VA
National Provider Identifier
1891099560
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202004205 Issued in VA
Practice address
5479 Germanna Hwy
Locust Grove, VA 22508-2018
Phone
(540) 972-7994
Fax
(540) 972-0706
NPI assigned
Jan 10, 2011
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202004205 VA Primary

Addresses

Primary practice location

5479 Germanna Hwy
Locust Grove, VA 22508-2018

Mailing address

10604 Rollingwood Dr
Fredericksburg, VA 22407-1675
Phone (540) 898-0306

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

LicenseStateTypeSpecialty
0202004205VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilderness Center Pharmacy Inc Pharmacist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1891099560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 ROLLINGWOOD DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071675",
            "telephone_number": "540-898-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 GERMANNA HWY",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082018",
            "telephone_number": "540-972-7994",
            "fax_number": "540-972-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRARD",
        "first_name": "WILLIAM",
        "middle_name": "LINNIE",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202004205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.