Organization Active NPI

Team J & J Corp

Doing business as Williamson Pharmacy

  • Pharmacy
  • Williamson, WV
National Provider Identifier
1316424948
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
SP0552526 Issued in WV
Legal business name
TEAM J & J CORP
Doing business as
Williamson Pharmacy
Practice address
54 W 2ND Ave
Williamson, WV 25661-3506
Phone
(304) 235-3784
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Hershel Baker Jr., PHARMDNPI 1417430182
Title
Pic/Owner
Phone
(304) 235-3784

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
Pharmacy 333600000X SP0552526 WV Primary

Addresses

Primary practice location

54 W 2ND Ave
Williamson, WV 25661-3506

Mailing address

54 W 2ND Ave
Williamson, WV 25661-3506
Phone (304) 235-3784

Other names 1

  • Williamson Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

48 W 2nd Ave
Williamson, WV 25661
Phone (304) 235-3784

Practitioners & affiliated clinicians

Practitioners 1

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": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1316424948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W 2ND AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613506",
            "telephone_number": "304-235-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 2ND AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613506",
            "telephone_number": "304-235-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM J & J CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "HERSHEL",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "304-235-3784",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0552526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.