Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760087738 Individual Practitioner Female Practitioner

Dr. Keonjala Shanae Williams , PharmD

Pharmacist • Jasper, FL

Professional Overview & Biography Verified Profile Summary

Dr. Keonjala Williams, PharmD is a registered healthcare professional specializing in Pharmacist in Jasper, FL. Practice services are available at 100 2ND AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 2nd Ave Se

Jasper, FL 320526114

Telephone 3867922551
Fax 3867923577
Associated Practice Facility / Clinic
🏢 Holiday Cvs Llc Facility NPI 1114021078

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jasper, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Jasper, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS56665

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Florida Board Of Pharmacy
PS56665 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2020

Registered at 100 2ND AVE SE, JASPER, FL 320526114 (Tel: 3867922551)

📍
Updated Business Mailing Address November 30, 2020

Registered at 100 2ND AVE SE, JASPER, FL 320526114 (Tel: 3867922551)

👤
Provider Name / Credentials Updated November 30, 2020

Recorded as KEONJALA WILLIAMS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Pharmacist (License #PS56665 in FL)

🟢
Initial NPI Registration & Enumeration November 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760087738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2020
Last Update: November 30, 2020
Sole Proprietor: No

Mailing Address

100 2nd Ave Se

Jasper, FL 320526114

Phone: 3867922551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.