Organization Active NPI

Williams Drug, LLC

Doing business as Williams Pharmacy

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1073653762
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00602500 Issued in NJ
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

Updated by the provider on Sep 24, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8808201MedicaidNJ

Other names 1

  • Williams Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930097465 NJ DME Supplier - Pharmacy 8224245683 Practice locations: Paterson, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.