Williamsburg Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WILLIAMSBURG PHARMACY INC

Doing business as

Williamsburg Pharmacy

Practice address

318 E 1St St
Williamsburg, PA 16693-1006

Phone

(240) 527-5556

NPI assigned

May 4, 2020

Last updated

Aug 16, 2021By the provider in NPPES

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

(814) 407-4742

Specialties & licenses 1

Addresses

Other names 1

• WILLIAMSBURG PHARMACY Doing business as

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

  • Long Term Care Pharmacy
  • Williamsburg, PA
  • NPI 1023889458
  NPD tax ID

Locations

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1043831761",
    "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": "240-527-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "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": "814-407-4742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAMSBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WILLIAMSBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• White Deer Run, Inc (Cove Forge Behavioral Health Systems)
• White Deer Run, LLC (Cove Forge Behavioral Health System)
• Williamsburg Ambulance Club
• Williamsburg Community School District
• Williamsburg Pharmacy Inc
• Kelly Young

• Community/Retail Pharmacy in Williamsburg, PA
• Providers in Williamsburg, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.