Active NPI
William Tyler Halstead, PHARMD
- Pharmacist
- Gate City, VA
National Provider Identifier
1912336397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202212289
- Practice address
- 119 E Jackson St
Gate City, VA 24251-3418 - Phone
- (276) 863-8213
- Fax
- (276) 386-7582
- NPI assigned
- Nov 5, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202212289 | VA | MD | Pharmacist |
| 23962 | NC | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23962 | NC | |
| Pharmacist | 183500000X | 0202212289 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
119 E Jackson St
Gate City, VA 24251-3418
Mailing address
119 E Jackson St
Gate City, VA 24251-3418
Phone (276) 386-3821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2022.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1912336397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E JACKSON ST",
"city": "GATE CITY",
"state": "VA",
"postal_code": "242513418",
"telephone_number": "276-386-3821",
"fax_number": "276-386-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E JACKSON ST",
"city": "GATE CITY",
"state": "VA",
"postal_code": "242513418",
"telephone_number": "276-863-8213",
"fax_number": "276-386-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSTEAD",
"first_name": "WILLIAM",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-05",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23962",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gate City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.