DR. DEDRA LYNNETTE WILLIAMS (NPI# 1467734772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467734772 |
| Entity Type | Individual |
| Full Name | DR. DEDRA LYNNETTE WILLIAMS |
| Credential | PHARMD |
| Practice Address |
3300 Center St Deer Park TX 77536-5058 |
| Mailing Address |
2013 Balsam Lake Ln Pearland TX 77584-3623 |
| Practice Telephone | 2814793488 |
| Mailing Telephone | 8327255803 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 42658 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208395 | Dedra Williams | Licensed Practical Nurse | 1174 E Ridge Rd Apt 23, Rochester, NY 14621-1931 | 2019-01-10 |
| 1033694955 | Dedra Williams | Registered Nurse | 1325 Wright Ave Ste E, Crowley, LA 70526-2226 | 2018-09-26 |
| 1952738338 | Dedra D Williams | Counselor | 3210 Isim Rd, Norman, OK 73026-8623 | 2013-10-01 |
| Street Address |
3300 CENTER ST |
| City | DEER PARK |
| State | TX |
| Zip Code | 77536-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619994134 | Julio F Garza | Physician Assistant | 3300 Center St, Deer Park, TX 77536-5058 | 2006-07-17 |
| 1851761340 | Ashley D. Powell | Nurse Practitioner | 3300 Center St, Deer Park, TX 77536-5058 | 2015-09-28 |
| 1083019384 | Jayla Bennett | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2014-10-29 |
| 1609288430 | Agnes Shepard | Nurse Practitioner | 3300 Center St, Deer Park, TX 77536-5058 | 2014-05-28 |
| 1811314669 | Gianni Baham Williams | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2014-03-18 |
| 1144558164 | Long Nguyen | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-12-02 |
| 1588992598 | Faheem Razzak | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-12-02 |
| 1073841102 | Brian Harding | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-12-01 |
| 1144558347 | Suja Mariamma Rajan | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-11-27 |
| 1295977676 | Elizabeth Delacy Baird | Physician Assistant | 3300 Center St, Deer Park, TX 77536-5058 | 2009-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
| 1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
| 1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
| 1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
| 1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
| 1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
| Find all providers in zip 77536 | ||||
| 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 |
|---|---|---|---|---|
| 1669843314 | Marsha C Miller | Pharmacist | 39 W 20th St, Deer Park, NY 11729-3913 | 2015-10-07 |
| 1174879266 | Cher Eleanor Carbett | Pharmacist | 11 E H St Ste A, Deer Park, WA 99006-7178 | 2012-07-26 |
| 1952675076 | Debra Kay Keller | Pharmacist | 412 S Main, Deer Park, WA 99006 | 2012-03-07 |
| 1740586973 | Simranjit Kaur | Pharmacist | 686 Nicolls Rd, Deer Park, NY 11729-2723 | 2011-02-05 |
| 1396074167 | Antoya Booker | Pharmacist | 3300 Center Street, Deer Park, TX 77583 | 2009-12-08 |
| 1710195730 | Garry Pfeffer | Pharmacist | 4937 S Swenson Rd, Deer Park, WA 99006-9465 | 2007-05-21 |
| 1285250969 | Melvin Eugene Black II | Pharmacist | 4090 E Galbraith Rd, Deer Park, OH 45236-2324 | 2020-06-18 |
| 1679198881 | Erin Delaney | Pharmacist | 4090 E Galbraith Rd, Deer Park, OH 45236 | 2020-06-12 |
| 1720629827 | Matthew John Porcaro | Pharmacist | 1770 Deer Park Ave, Deer Park, NY 11729-5203 | 2019-10-01 |
| 1467007963 | Daniel Kiang | Pharmacist | 4701 East Blvd, Deer Park, TX 77536-5404 | 2019-08-02 |
| Find all providers in DEER PARK | ||||
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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.