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JACOB WILLIAMS
NPI 1205563681
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grand Chute, WI

Active since August 04, 2022
2400 W WISCONSIN AVE, GRAND CHUTE, WI 54914(920) 831-0400(920) 831-0322 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 9, 2026, Aug 4, 2022 (2 updates tracked since 2022).

About Jacob Williams NPPES

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

JACOB WILLIAMS (NPI 1205563681) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Grand Chute, Wisconsin, licensed in Wisconsin (21379-40) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1205563681
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJACOB WILLIAMS
Location Address2400 W WISCONSIN AVEGrand Chute, WI 54914-3109
Mailing Address2400 W Wisconsin AveGrand Chute, WI 54914-3109 · (920) 831-0400 · Fax (920) 831-0322
Phone(920) 831-0400
Fax(920) 831-0322
Sole ProprietorNo
Enumeration DateAugust 4, 2022
Last NPPES UpdateMay 9, 20262 updates tracked since enumeration
NPPES CertifiedMay 9, 2026
✔ NPI 1205563681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WI · 21379-40
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.
2400 W WISCONSIN AVE, Grand Chute, WI 54914
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Other Providers at the Same Location NPPES 7

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

KAREN BORSHEIM RPHH
Pharmacist
2400 W WISCONSIN AVE
APPLETON, WI 54914
Outagamie County (920) 739-0934
JUSTIN SZYMCZAK PHARM.D.
Pharmacist
2400 W WISCONSIN AVE
APPLETON, WI 54914
Outagamie County (920) 831-0400
AURORA PHARMACY INC
Pharmacy
2400 W WISCONSIN AVE
APPLETON, WI 54914
Outagamie County (920) 831-0400
JAMES DREIER
Pharmacist
2400 W WISCONSIN AVE
GRAND CHUTE, WI 54914
Outagamie County (920) 831-0400
MR. OSCAR M ESPANOL-RUIZ RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2400 W WISCONSIN AVE
GRAND CHUTE, WI 54914
Outagamie County (920) 831-0400
REBECCA SCHULTZ
Pharmacist
2400 W WISCONSIN AVE
APPLETON, WI 54914
Outagamie County (920) 831-0400
ROUNDYS SUPERMARKETS INC
Pharmacy (Community/Retail Pharmacy)
2400 W WISCONSIN AVE
GRAND CHUTE, WI 54914
Outagamie County (920) 831-0400

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 Jacob Williams's NPI number?

The NPI number for Jacob Williams is 1205563681. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Jacob Williams located?

Jacob Williams practices at 2400 W Wisconsin Ave, Grand Chute, WI 54914. The listed phone number is (920) 831-0400.

What is Jacob Williams'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 Jacob Williams was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.