MEDICARE: DR. THOMAS MASON WILLIAMS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2021043121	MO

General Provider Information

NPI Number	:	1023772373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS MASON WILLIAMS PHARMD

Provider Business Mailing Address
First Line	:	217 NW KESSLER DR APT 308
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-4168
Country	:	US
Telephone Number	:	620-249-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 STATE AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4038
Country	:	US
Telephone Number	:	913-621-7073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2021
Last Update Date	:	10/22/2021

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