Active NPI
David M Williams Enterprises, LLC
- Community/Retail Pharmacy
- Bradenton, FL
National Provider Identifier
1134359805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24132
- Legal business name
- DAVID M WILLIAMS ENTERPRISES, LLC
- Practice address
- 1824 59TH St W
Bradenton, FL 34209-4630 - Phone
- (941) 794-2026
- Fax
- (941) 794-2446
- NPI assigned
- Jul 16, 2009
- 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. Scott A Nichols, RPH
- Title
- Pharmacist / President
- Phone
- (941) 524-7056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH24132 | FL | Primary |
Addresses
Primary practice location
1824 59TH St W
Bradenton, FL 34209-4630
Mailing address
PO Box 14003
Bradenton, FL 34280-4003
Phone (941) 794-2026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH24132 | Other | FL | LICENSE |
National Provider Directory
National Provider DirectoryLocations
1824 59th St W
Bradenton, FL 34209
Phone (941) 792-2688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1134359805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14003",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342804003",
"telephone_number": "941-794-2026",
"fax_number": "941-794-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094630",
"telephone_number": "941-794-2026",
"fax_number": "941-794-2446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M WILLIAMS ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-16",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHARMACIST / PRESIDENT",
"authorized_official_telephone_number": "941-524-7056",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH24132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PH24132",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.