Williams Bros Health Care Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Vincennes, IN
NPI 1366475113 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1366475113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054.018711 (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
- Organization subpart
- No
Authorized official
- Name
- Charles Clayborne Williams III, RPH
- Title
- Owner/Chief Strategy Officer
- Phone
- (812) 254-2497
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Core of Dale |
Skilled nursing facility | Adp of the SNF | Apr 1, 2008 |
| Core of Bedford |
Skilled nursing facility | Adp of the SNF | Apr 1, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930004497 | IN | DME Supplier - Medical Supply Company |
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 |
National Provider Directory
Locations
7 Williams Brothers Dr
Washington, IN 47501
Phone (812) 257-2505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 60006379A | IN | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054.018711 | IL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144586 | Other | PK | |
| 300001152 | Medicaid | IN |
Other providers in Vincennes, IN
- Megan P Whitehead
- Timothy Reese Whiteman
- Gregory Michael Whitsett
- Alexia Nicole Wilcox
- William K. Mayfield
- Williams Bros. Health Care Pharmacy, Inc.
- Michael Duane Williams
- Paige Williams
- Tammy Lynn Williams
- Wendy Lynette Williams
All providers in Vincennes, IN · Community/Retail Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.