NPIMap

Organization Active NPI

Williams Bros. Health Care Pharmacy, Inc.

Doing business as Williams Bros. Health Care Pharmacy

  • Community/Retail Pharmacy
  • Paoli, IN
National Provider Identifier
1033186192
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WILLIAMS BROS. HEALTH CARE PHARMACY, INC.
Doing business as
Williams Bros. Health Care Pharmacy
Practice address
889 N Gospel St
Paoli, IN 47454-9217
Phone
(812) 723-3907
Fax
(812) 723-3933
NPI assigned
Mar 7, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Charles Clayborne Williams III, RPH
Title
Owner/Chief Strategy Officer
Phone
(812) 254-2497

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X 60005132 IN
Prosthetic/Orthotic Supplier 335E00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

889 N Gospel St
Paoli, IN 47454-9217

Mailing address

10 Williams Bros Dr
Washington, IN 47501-4535
Phone (812) 254-2497

Other identifiers 4

IdentifierTypeStateIssuer
HME00165OtherKYCOMMONWEALTH OF KENTUCKY
60005132OtherINPHARMACY PERMIT
100300170AMedicaidIN
1533466OtherNABP

Other names 1

  • Williams Bros. Health Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930050740 IN DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Registered Pharmacist 7315064615 Practice locations: Paoli, IN
O20110907001285 IN Part B Supplier - Mass Immunization (Roster Biller Only) 7315064615 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, IN; Vincennes, IN; Princeton, IN; Paoli, IN; Loogootee, IN; Bloomington, IN; Austin, IN

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7 Williams Brothers Dr
Washington, IN 47501
Phone (812) 257-2505

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Core of DaleDale, IN, CCN 155270 Skilled nursing facility Adp of the SNF Apr 1, 2008
Core of BedfordBedford, IN, CCN 155388 Skilled nursing facility Adp of the SNF Apr 1, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1033186192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLIAMS BROS DR",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014535",
            "telephone_number": "812-254-2497",
            "fax_number": "812-257-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 N GOSPEL ST",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549217",
            "telephone_number": "812-723-3907",
            "fax_number": "812-723-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS BROS. HEALTH CARE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CLAYBORNE",
        "authorized_official_title_or_position": "OWNER/CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "812-254-2497",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60005132",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF KENTUCKY",
            "identifier": "HME00165",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "60005132",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100300170A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1533466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Bros. Health Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paoli, IN

Sources for this page

Verify at the official NPI Registry.