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Organization Active NPI

Williams Bros Health Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Vincennes, IN
National Provider Identifier
1366475113
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.018711 Issued in IL
Legal business name
WILLIAMS BROS HEALTH CARE PHARMACY INC
Practice address
1216 Washington Ave
Vincennes, IN 47591-2245
Phone
(812) 882-1800
Fax
(812) 886-4042
NPI assigned
Jul 7, 2006
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Charles Clayborne Williams III, RPH
Title
Owner/Chief Strategy Officer
Phone
(812) 254-2497

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 60006379A IN
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054.018711 IL Primary

Addresses

Primary practice location

1216 Washington Ave
Vincennes, IN 47591-2245

Mailing address

10 Williams Bros Drive
Washington, IN 47501-4535
Phone (812) 254-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930004497 IN DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Pharmacy 7315064615 Practice locations: Vincennes, IN
O20110907001285 IN Part B Supplier - Mass Immunization (Roster Biller Only) 7315064615 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, IN; Vincennes, IN; Princeton, IN; Paoli, IN; Loogootee, IN; Bloomington, IN; Austin, IN

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Core of DaleDale, IN, CCN 155270 Skilled nursing facility Adp of the SNF Apr 1, 2008
Core of BedfordBedford, IN, CCN 155388 Skilled nursing facility Adp of the SNF Apr 1, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1366475113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLIAMS BROS DRIVE",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014535",
            "telephone_number": "812-254-2497",
            "fax_number": "812-257-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 WASHINGTON AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912245",
            "telephone_number": "812-882-1800",
            "fax_number": "812-886-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS BROS HEALTH CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CLAYBORNE",
        "authorized_official_title_or_position": "OWNER/CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "812-254-2497",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "60006379A",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.018711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.