Individual provider Active NPI

Almonetsha Jovell Williams-Wilson

  • Pharmacy Technician
  • Savannah, GA
National Provider Identifier
1962091108
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PHTC031486 Issued in GA
Practice address
712 Stephenson Ave
Savannah, GA 31405-5975
Phone
(912) 355-8601
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PHTC031486 GA Primary

Addresses

Primary practice location

712 Stephenson Ave
Savannah, GA 31405-5975

Mailing address

712 Stephenson Ave
Savannah, GA 31405-5975
Phone (912) 355-8601

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cvs

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

State licenses

LicenseStateTypeSpecialty
PHTC031486GAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1962091108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055975",
            "telephone_number": "912-355-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055975",
            "telephone_number": "912-355-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-WILSON",
        "first_name": "ALMONETSHA",
        "middle_name": "JOVELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC031486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cvs",
            "affiliation": "N",
            "address_1": "712 Stephenson Ave",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314055975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.