Williamsburg Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000676 Issued in VA

Legal business name

WILLIAMSBURG DRUG CO INC

Doing business as

Williamsburg Drug 1963

Practice address

1310 Jamestown Rd
Williamsburg, VA 23185-3309

Phone

(757) 229-3560

Fax

(757) 253-5651

NPI assigned

Oct 2, 2006

Last updated

Jun 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas TaylorNPI 1386124303

Title

Owner

Phone

(757) 229-3560

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WILLIAMSBURG DRUG 1963 Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Williamsburg Drug Co Inc

  • Community/Retail Pharmacy
  • Williamsburg, VA
  • NPI 1184721920

  O20201022002330

  Same enrollment

Locations

Practitioners 2

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.

• Thomas W Taylor, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Williamsburg, VA
  • NPI 1386124303
  NPD (past) Authorized official
• Jaime Reid, PHARMD

  • Ambulatory Care Pharmacist
  • Williamsburg, VA
  • NPI 1215443833
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1457444333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 JAMESTOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853309",
            "telephone_number": "757-229-3560",
            "fax_number": "757-253-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 JAMESTOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853309",
            "telephone_number": "757-229-3560",
            "fax_number": "757-253-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-229-3560"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000676",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102226",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457444333",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAMSBURG DRUG 1963",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Williamsburg Counseling and Wellness Center, LLC
• Williamsburg Dental Group PLC
• Williamsburg Dental Group PLC
• Williamsburg Dermatology Inc
• Williamsburg Drug Co Inc
• Williamsburg Drug Co., Inc (Williamsburg Drug Company LTC)
• Williamsburg Emergency Physicians
• Williamsburg Emergency Physicians
• Williamsburg Emergency Physicians
• Williamsburg Endocrinology Inc

• Community/Retail Pharmacy in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.