Organization Active NPI

David M Williams Enterprises, LLC

  • Community/Retail Pharmacy
  • Bradenton, FL
National Provider Identifier
1134359805
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24132 Issued in FL
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PH24132OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.