Active NPI
Nolen V Williams
- Community/Retail Pharmacy
- Wewoka, OK
National Provider Identifier
1467545806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NOLEN V WILLIAMS
- Practice address
- 309 S Wewoka Ave
Wewoka, OK 74884-2641 - Phone
- (405) 257-3388
- Fax
- (405) 257-6508
- NPI assigned
- Sep 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Holley
- Title
- MGR
- Phone
- (405) 257-3388
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 24655 | OK | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
309 S Wewoka Ave
Wewoka, OK 74884-2641
Mailing address
PO Box 728
Wewoka, OK 74884-0728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3708724 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- ROBERTS DRUG STORE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1467545806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "WEWOKA",
"state": "OK",
"postal_code": "748840728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S WEWOKA AVE",
"city": "WEWOKA",
"state": "OK",
"postal_code": "748842641",
"telephone_number": "405-257-3388",
"fax_number": "405-257-6508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOLEN V WILLIAMS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HOLLEY",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "405-257-3388"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OK",
"license": "24655",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3708724",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROBERTS DRUG STORE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wewoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.