Organization Active NPI

Xavier Williams Corporation

  • Community/Retail Pharmacy
  • Emporium, PA
National Provider Identifier
1023002656
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
XAVIER WILLIAMS CORPORATION
Doing business as
Cameron County Pharmacy
Practice address
318 E 4TH St
Emporium, PA 15834-1514
Phone
(814) 486-1191
Fax
(814) 486-1195
NPI assigned
Sep 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Francis Xavier Straub III, R PH
Title
President
Phone
(814) 781-3192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP410821L PA
Community/Retail Pharmacy 3336C0003X PA Primary

Addresses

Primary practice location

318 E 4TH St
Emporium, PA 15834-1514

Mailing address

PO Box 112
St Marys, PA 15857-0112
Phone (814) 781-3192

Other identifiers 2

IdentifierTypeStateIssuer
0012190350003MedicaidPA
3961148OtherPANCPDP #

Other names 1

  • Cameron County Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

318 E 4th St
Emporium, PA 15834
Phone (814) 486-1191

10 Railroad St
Saint Marys, PA 15857
Phone (814) 834-7180

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023002656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158570112",
            "telephone_number": "814-781-3192",
            "fax_number": "814-781-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341514",
            "telephone_number": "814-486-1191",
            "fax_number": "814-486-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER WILLIAMS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STRAUB",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-781-3192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410821L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012190350003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3961148",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron County Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emporium, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.