KEITH JEROME MCWILLIAMS (NPI# 1164855169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164855169 |
| Entity Type | Individual |
| Full Name | KEITH JEROME MCWILLIAMS |
| Credential | RPH |
| Practice Address |
1200 Dodson Ave Chattanooga TN 37406-3214 |
| Practice Telephone | 4233861107 |
| Practice Fax Number | 4236988288 |
| Mailing Telephone | 4233861107 |
| Mailing Fax Number | 4236988288 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 10572 | AL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH014334 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 011335 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541101 | Keith Benjamin Mcwilliams | Occupational Therapist | 2424 Clairborne Dr, Fort Worth, TX 76177-8203 | 2016-07-11 |
| Street Address |
1200 DODSON AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37406-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664674 | Mark Alan Branch | Obstetrics & Gynecology | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2005-10-21 |
| 1083278113 | Shawn Winton | Counselor | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2019-04-24 |
| 1740642040 | Thaer A Musa | Internal Medicine | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2016-03-25 |
| 1669807335 | Deondra Wheeler Holston | Nurse Practitioner | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2013-09-12 |
| 1629414222 | Srikar Vulugundam | Dentist | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2013-05-22 |
| 1619313418 | Aparnaa Upadhyaya | Dentist | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2013-05-20 |
| 1942574280 | Lincoln Peixoto | Family Medicine | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2012-03-05 |
| 1790055838 | Sam Mekkaoui | Pharmacist | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2012-01-05 |
| 1154591246 | Larry Curtis Cary | Internal Medicine | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2008-03-05 |
| 1164631156 | Jennie Mahaffey | Psychiatry & Neurology | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1124499959 | Maria Elena Ramantanin | Special Hospital | 2132 Amnicola Hwy, Chattanooga, TN 37406 | 2015-10-20 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1740512177 | Erin Michelle Harper | Nurse Practitioner | 1200 Dodson Avenue, Chattanooga, TN 37406 | 2010-02-10 |
| 1306047170 | Mary Nicole Crittenden | Physical Therapist | 1501 Riverside Dr. Suite 270, Chattanooga, TN 37406 | 2007-05-30 |
| 1083836761 | Mercury Cab Co. | Taxi | 901 Dodson Ave, Chattanooga, TN 37406 | 2007-05-03 |
| 1558491902 | Breezie Finley | Nurse Practitioner | 3167 Elmendorf Circle, Chattanooga, TN 37406 | 2007-03-06 |
| 1356400824 | Rebecca Lee Ingle Holden | Chiropractor | 4289 Bonny Oaks Dr Ste 107, Chattanooga, TN 37406 | 2006-12-08 |
| 1033195110 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 1501 Riverside Dr Ste 340, Chattanooga, TN 37406 | 2005-12-20 |
| 1982254991 | Sage Lauren Hutchison | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406 | 2019-09-12 |
| Find all providers in zip 37406 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653835 | Paige Mayer | Pharmacist | 4542 Tn- 58, Chattanooga, TN 37416 | 2018-09-24 |
| 1003311424 | Joshua Cody Sanders | Pharmacist | 3828 Redding Rd, Chattanooga, TN 37415-4123 | 2018-03-27 |
| 1225537145 | Jennifer Rice | Pharmacist | 7806 Laurelton Dr, Chattanooga, TN 37421-1953 | 2018-02-06 |
| 1649792821 | Jacy Tucker Copeland | Pharmacist | 420 W Bell Ave Ste P, Chattanooga, TN 37405-3404 | 2017-07-10 |
| 1649703679 | Matthew Parker | Pharmacist | 5959 Shallowford Rd Ste 107, Chattanooga, TN 37421-2251 | 2017-04-06 |
| 1093247876 | Ashley Ellis | Pharmacist | 3617 Cherokee Ave, Chattanooga, TN 37412-1105 | 2017-03-30 |
| 1932658630 | Lindsey Narramore | Pharmacist | 3901 Hixson Pike, Suite 181, Chattanooga, TN 37415-3567 | 2016-09-23 |
| 1275991820 | Asha Thaliath | Pharmacist | 6851 Shallowford Road, Hamilton Discount Pharmacy, Chattanooga, TN 37421 | 2016-02-10 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1902296064 | Kelly Hawkins | Pharmacist | 3801 Tennessee Ave, Chattanooga, TN 37409 | 2015-01-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37406 |
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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.