MEDICARE: DR. KERRY LYNN WILLIAMS PHARM.D.

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	051.302844	IL
2	183500000X	Pharmacist	28RIO4052000	NJ
3	183500000X	Pharmacist	18915	NV
4	183500000X	Pharmacist	PH3738	HI
5	183500000X	Pharmacist	PS 38798	FL
6	183500000X	Pharmacist	15128	AL
7	183500000X	Pharmacist	S023261	AZ
8	183500000X	Pharmacist	66131	TX

General Provider Information

NPI Number	:	1871773994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERRY LYNN WILLIAMS PHARM.D.

Provider Business Mailing Address
First Line	:	1200 BINZ ST STE 1040
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-6926
Country	:	US
Telephone Number	:	713-520-2328
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2616
Country	:	US
Telephone Number	:	713-391-8991
Fax Number	:

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

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	07/17/2022

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