Active NPI
Williamsburg Drug Co Inc
- Community/Retail Pharmacy
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201001616
- Legal business name
- WILLIAMSBURG DRUG CO INC
- Practice address
- 240 McLaws Cir
Williamsburg, VA 23185-5678 - Phone
- (757) 229-1041
- Fax
- (757) 229-7014
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 29, 2022
- 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
- Thomas W Taylor
- Title
- Owner
- Phone
- (757) 229-1041
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201001616 | VA | Primary |
Addresses
Primary practice location
240 McLaws Cir
Williamsburg, VA 23185-5678
Mailing address
240 McLaws Cir
Williamsburg, VA 23185-5678
Phone (757) 229-1041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2102940 | Other | PK | |
| 1184721920 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201022002330 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315068830 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Williamsburg, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Williamsburg Drug 1963
- Community/Retail Pharmacy
- Williamsburg, VA
- NPI 1457444333
O20201022002330
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Williamsburg, VA
- NPI 1386124303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1184721920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MCLAWS CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855678",
"telephone_number": "757-229-1041",
"fax_number": "757-229-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MCLAWS CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855678",
"telephone_number": "757-229-1041",
"fax_number": "757-229-7014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSBURG DRUG CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-229-1041"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201001616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2102940",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184721920",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
- Williamsburg Counseling
- Williamsburg Counseling and Wellness Center, LLC
- Williamsburg Dental Group PLC
- Williamsburg Dental Group PLC
- Williamsburg Dermatology Inc
- Williamsburg Drug Co Inc (Williamsburg Drug 1963)
- Williamsburg Drug Co., Inc (Williamsburg Drug Company LTC)
- Williamsburg Emergency Physicians
- Williamsburg Emergency Physicians
- Williamsburg Emergency Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.