Active NPI
Williams Drug, LLC
Doing business as Williams Pharmacy
- Community/Retail Pharmacy
- Paterson, NJ
National Provider Identifier
1073653762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00602500
- Legal business name
- WILLIAMS DRUG, LLC
- Doing business as
- Williams Pharmacy
- Practice address
- 305 Broadway
Paterson, NJ 07501-2102 - Phone
- (973) 523-0777
- Fax
- (973) 279-0489
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dhiman Parikh, ESQ.
- Title
- General Manager
- Phone
- (201) 657-8388
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 28RS00602500 | NJ | |
| Pharmacy | 333600000X | 28RS00602500 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | 28RS00602500 | NJ | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
305 Broadway
Paterson, NJ 07501-2102
Mailing address
305 Broadway
Paterson, NJ 07501-2102
Phone (973) 523-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8808201 | Medicaid | NJ |
Other names 1
- Williams Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097465 | NJ | DME Supplier - Pharmacy | 8224245683 | Practice locations: Paterson, NJ |
National Provider Directory
National Provider DirectoryLocations
305 Broadway
Paterson, NJ 07501
Phone (973) 523-0777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1073653762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075012102",
"telephone_number": "973-523-0777",
"fax_number": "973-279-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075012102",
"telephone_number": "973-523-0777",
"fax_number": "973-279-0489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS DRUG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "PARIKH",
"authorized_official_first_name": "DHIMAN",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "201-657-8388",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NJ",
"license": "28RS00602500",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00602500",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00602500",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8808201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Williams Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.