Active NPI
Stephen Charles Williams, RPH
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1891399606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP043157L
- Practice address
- 2640 E Cumberland St
Philadelphia, PA 19125-3709 - Phone
- (215) 291-8315
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- 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 | RP043157L | PA | Primary |
Addresses
Primary practice location
2640 E Cumberland St
Philadelphia, PA 19125-3709
Mailing address
1250 Rosemont LN
Abington, PA 19001-3903
Phone (215) 576-8855
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP043157L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
2640 E Cumberland St
Philadelphia, PA 19125
Phone (215) 291-8315
Organizations & group practices 2
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": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1891399606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 ROSEMONT LN",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013903",
"telephone_number": "215-576-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 E CUMBERLAND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253709",
"telephone_number": "215-291-8315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEPHEN",
"middle_name": "CHARLES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043157L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.