Organization Active NPI

Williams Pharmacy Inc

  • Community/Retail Pharmacy
  • St Louis, MO
National Provider Identifier
1265525893
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4884 Issued in MO
Legal business name
WILLIAMS PHARMACY INC
Practice address
7010 Pershing Avenue
St Louis, MO 63130
Phone
(314) 727-4854
Fax
(314) 727-1724
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brett F WilliamsNPI 1528274784
Title
President
Phone
(314) 727-4854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4884 MO Primary

Addresses

Primary practice location

7010 Pershing Avenue
St Louis, MO 63130

Mailing address

7010 Pershing Avenue
St Louis, MO 63130
Phone (314) 727-4854

Other identifiers 1

IdentifierTypeStateIssuer
600127203MedicaidMO

National Provider Directory

National Provider Directory

Locations

7010 Pershing Ave
University City, MO 63130
Phone (314) 727-4854

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1265525893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 PERSHING AVENUE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-727-4854",
            "fax_number": "314-727-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 PERSHING AVENUE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-727-4854",
            "fax_number": "314-727-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-727-4854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "4884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600127203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.