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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL DOUGLAS WILLIS PHARMD
NPI 1629978374
Pharmacist in Liberty, KY

Active since November 06, 2026
50 DILLON ST, LIBERTY, KY 42539(606) 787-2100(606) 787-1874 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Samuel Douglas Willis Pharmd NPPES

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

SAMUEL DOUGLAS WILLIS PHARMD (NPI 1629978374) is an individual pharmacist in Liberty, Kentucky, licensed in Kentucky (025977) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1629978374
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSAMUEL DOUGLAS WILLISCredential: PHARMD
Location Address50 DILLON STLiberty, KY 42539-3470
Mailing Address50 Dillon StLiberty, KY 42539-3470 · (606) 787-2100 · Fax (606) 787-1874
Phone(606) 787-2100
Fax(606) 787-1874
Sole ProprietorNo
Enumeration DateNovember 6, 2026
NPPES CertifiedNovember 6, 2026
✔ NPI 1629978374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in KY · 025977
Definition
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.
50 DILLON ST, Liberty, KY 42539
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Other Providers at the Same Location NPPES

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

ADAIR PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
50 DILLON ST
LIBERTY, KY 42539
Casey County (606) 787-2100

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 Samuel Willis's NPI number?

The NPI number for Samuel Willis is 1629978374. It was assigned to this individual provider in the NPPES registry on November 6, 2026.

Where is Samuel Willis located?

Samuel Willis practices at 50 Dillon St, Liberty, KY 42539. The listed phone number is (606) 787-2100.

What is Samuel Willis's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Samuel Willis was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.