Individual provider Active NPI

William Wayman Dizol, PHARMD

  • Pharmacist
  • La Vergne, TN
National Provider Identifier
1891942264
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21876 Issued in TN
Practice address
5202 Murfreesboro Rd
La Vergne, TN 37086-2714
Phone
(615) 793-3784
Fax
(615) 213-2544
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21876 TN Primary

Addresses

Primary practice location

5202 Murfreesboro Rd
La Vergne, TN 37086-2714

Mailing address

830 McKean Dr
Smyrna, TN 37167-6903
Phone (615) 625-3022

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

LicenseStateTypeSpecialty
21876TNMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1891942264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MCKEAN DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676903",
            "telephone_number": "615-625-3022",
            "fax_number": "615-625-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 MURFREESBORO RD",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370862714",
            "telephone_number": "615-793-3784",
            "fax_number": "615-213-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZOL",
        "first_name": "WILLIAM",
        "middle_name": "WAYMAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "21876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.