Organization Active NPI

Williams Family Drug LLC

  • Community/Retail Pharmacy
  • Grantsville, UT
National Provider Identifier
1386689420
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
61246091703 Issued in UT
Legal business name
WILLIAMS FAMILY DRUG LLC
Practice address
124 W Main St
Grantsville, UT 84029-9621
Phone
(435) 884-3285
Fax
(435) 884-6873
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Scott Williams, RPHNPI 1053457572
Title
Owner
Phone
(435) 884-3285

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 61246091703 UT Primary

Addresses

Primary practice location

124 W Main St
Grantsville, UT 84029-9621

Mailing address

124 W Main St
Grantsville, UT 84029-9621

Other identifiers 2

IdentifierTypeStateIssuer
4610475OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4610475OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

124 W Main St
Grantsville, UT 84029
Phone (435) 884-3285

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1386689420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W MAIN ST",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W MAIN ST",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299621",
            "telephone_number": "435-884-3285",
            "fax_number": "435-884-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-884-3285",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "61246091703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4610475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4610475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.