Williamsburg Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WILLIAMSBURG PHARMACY INC

Practice address

318 E 1St St
Williamsburg, PA 16693-1006

Phone

(814) 407-4742

Fax

(814) 407-4957

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Seth Ruby, PHARMD

Title

President

Phone

(240) 527-5556

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Williamsburg Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Williamsburg Pharmacy Inc

  • Community/Retail Pharmacy
  • Williamsburg, PA
  • NPI 1043831761
  NPD tax ID

Locations

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1023889458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E 1ST ST",
            "city": "WILLIAMSBURG",
            "state": "PA",
            "postal_code": "166931006",
            "telephone_number": "814-407-4742",
            "fax_number": "814-407-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E 1ST ST",
            "city": "WILLIAMSBURG",
            "state": "PA",
            "postal_code": "166931006",
            "telephone_number": "814-407-4742",
            "fax_number": "814-407-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-527-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103792802-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upmc Altoona
• White Deer Run, Inc
• White Deer Run, LLC
• Williamsburg Ambulance Club
• Williamsburg Community School District
• Williamsburg Pharmacy Inc
• Kelly Young

• All providers in Williamsburg, PA
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.