DR. MARY WILLIAMS (NPI# 1174161475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174161475 |
| Entity Type | Individual |
| Full Name | DR. MARY WILLIAMS |
| Practice Address |
300 I-40 Service Road West Memphis AR 72301 |
| Practice Telephone | 8707320283 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PD14652 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1720601743 | Mary L Williams | Social Worker | 693 Pelton Ave, Staten Island, NY 10310-3139 | 2020-05-26 |
| 1518580547 | Mary Williams | Registered Nurse | 126 Bending Brook Ln, Dickinson, TX 77539-6134 | 2020-05-26 |
| 1144853045 | Mary Elizabeth Williams | Counselor | 221 Linden Blvd Apt B7, Brooklyn, NY 11226-3418 | 2020-02-19 |
| 1952943508 | Mary Kathryn Williams | Peer Specialist | 1141 E 74th St, Cleveland, OH 44103-1918 | 2019-10-16 |
| 1780246025 | Mary Elizabeth Williams | Social Worker | 160 Moore Dr Ste 208, Lexington, KY 40503-2936 | 2019-07-08 |
| 1215494513 | Mary Williams | Massage Therapist | 40 Pinch Creek Rd, Bland, VA 24315-4614 | 2019-02-23 |
| 1487119590 | Mary Elizabeth Williams | Counselor | 230 Se Cabot Dr, Oak Harbor, WA 98277-3700 | 2019-02-02 |
| 1265996839 | Mary Deanna Williams | Home Health | 210 W 18th St, Lorain, OH 44052-3712 | 2019-01-28 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| Street Address |
300 I-40 SERVICE ROAD |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| 1760721369 | Amber Tackett | Pharmacist | 300 W Service Road, West Memphis, AR 72301 | 2013-02-04 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1215182985 | Jason C Mckewen | Pharmacist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2008-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1982243655 | Amanda Reynolds | Pharmacist | 6929 Jfk Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-30 |
| 1336788074 | Melissa Ann Vail | Pharmacist | 6929 John F Kennedy Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-28 |
| 1215575964 | Jill Madonia Frazier | Pharmacist | 2 Coffee Pot Ln, Little Rock, AR 72202-1624 | 2019-12-12 |
| 1851938732 | Jerald Christopher Hailey | Pharmacist | 8415 W Markham St Ste B, Little Rock, AR 72205-2496 | 2019-12-10 |
| 1184261174 | Ashley Nicole Norton | Pharmacist | 4403 Camp Robinson Rd Ste A, North Little Rock, AR 72118-3699 | 2019-12-09 |
| 1205344678 | Whitney Woodward Campbell | Pharmacist | 1848 W Main St, Cabot, AR 72023-2745 | 2018-01-18 |
| 1659807691 | Janna Hawthorne | Pharmacist | 900 S Shackleford Rd Ste 501, Little Rock, AR 72211-3847 | 2017-05-11 |
| 1578987566 | Cheryl Ann Bush | Pharmacist | 16912 Old Highway 5, Cabot, AR 72023-8051 | 2014-02-11 |
| 1841639994 | Carol Ann Vestal | Pharmacist | 518 Meadow Rd, Russellville, AR 72802-1829 | 2013-06-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.