KATIE WILLIS
NPI 1104109396
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fayetteville, AR

Q: What is Katie Willis's NPI number?

The NPI number for Katie Willis is 1104109396. It was assigned to this individual provider in the NPPES registry on September 23, 2011. The provider is also known as Katie Hannah.

Q: What is Katie Willis's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Katie Willis was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2011

1100 N. COLLEGE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katie Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE WILLIS (NPI 1104109396) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fayetteville, Arkansas, licensed in Arizona (15672) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1104109396

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameKATIE WILLIS

Location Address1100 N. COLLEGEFayetteville, AR 72703

Mailing Address1100 N. CollegeFayetteville, AR 72703

Phone(479) 443-4301

Sole ProprietorNo

Enumeration DateSeptember 23, 2011

Last NPPES UpdateOctober 24, 2019

✔ NPI 1104109396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in AZ · 15672

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License 11267 (AR), 15672 (AZ)

1100 N. COLLEGE, Fayetteville, AR 72703

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Other Names 1

Former Name (1)Katie Hannah

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JANEANE TERESE ROBLEE P.T.

Physical Therapist

1100 N. COLLEGE
FAYETTEVILLE, AR 72703

Washington County (479) 443-5382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Willis's NPI number?

The NPI number for Katie Willis is 1104109396. It was assigned to this individual provider in the NPPES registry on September 23, 2011. The provider is also known as Katie Hannah.

Where is Katie Willis located?

Katie Willis practices at 1100 N. College, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Katie Willis's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Katie Willis was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.