NPIMap

Organization Active NPI

Williamsburg Pharmacy

Doing business as Maiden Drug Company

  • Durable Medical Equipment & Medical Supplies
  • Williamsburg, KY
National Provider Identifier
1437324035
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P02254 Issued in KY
Legal business name
WILLIAMSBURG PHARMACY
Doing business as
Maiden Drug Company
Practice address
327 Main St
Williamsburg, KY 40769-1123
Phone
(606) 549-0449
Fax
(606) 549-3233
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Edward Jonathan PowersNPI 1992410773
Title
President/Pharmacist
Phone
(606) 549-0449

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
Durable Medical Equipment & Medical Supplies 332B00000X P02254 KY Primary

Addresses

Primary practice location

327 Main St
Williamsburg, KY 40769-1123

Mailing address

327 Main St
Williamsburg, KY 40769-1123
Phone (606) 549-0449

Other identifiers 1

IdentifierTypeStateIssuer
54025325MedicaidKY

Other names 1

  • MAIDEN DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maiden Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

327 Main St
Williamsburg, KY 40769
Phone (606) 549-0449

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1437324035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691123",
            "telephone_number": "606-549-0449",
            "fax_number": "606-549-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691123",
            "telephone_number": "606-549-0449",
            "fax_number": "606-549-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "606-549-0449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P02254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54025325",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIDEN DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.