Active NPI
Bridget Pauline Williams, PHARMD
- Pharmacist
- Plymouth, MN
National Provider Identifier
1891309092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124953
- Practice address
- 2855 Campus Dr
Plymouth, MN 55441-2649 - Phone
- (612) 262-5184
- NPI assigned
- Sep 4, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 124953 | MN | Primary |
Addresses
Primary practice location
2855 Campus Dr
Plymouth, MN 55441-2649
Mailing address
3426 Rolling Hills Dr
Eagan, MN 55121-2346
Phone (612) 716-6474
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 |
|---|---|---|---|
| 124953 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | 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.
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1891309092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3426 ROLLING HILLS DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551212346",
"telephone_number": "612-716-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 CAMPUS DR",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412649",
"telephone_number": "612-262-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRIDGET",
"middle_name": "PAULINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
- Krista Jean Wieneke
- Jennifer Lynn Wiita, CRNA
- Wild Flower Health Care Services, Inc.
- Mark Steven Wilke, M.D.
- Courtney Elizabeth Wilkins, RN
- Gary L Williams, D.D.S.
- Keairra Latrece Williams
- Roshaunta Jacquese Evora Williams, BA AFRICAN AMERICAN
- Susan Ora Williams, MSW, LICSW
- Lindsay Grace Williamson, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.