MEDICARE: DR. WILLIAM NATHANIEL JONES 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	26029061A	IN

General Provider Information

NPI Number	:	1497348213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM NATHANIEL JONES PHARMD

Provider Business Mailing Address
First Line	:	3402 IMPERATOR LN UNIT 203
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40245-7704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 STATE ST
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-4920
Country	:	US
Telephone Number	:	812-948-2035
Fax Number	:

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

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	02/12/2021

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