NPIMap

Organization Active NPI

Williams Bros Health Care Pharmacy Inc

Doing business as Williams Bros. Health Care Pharmacy

  • Health Service Clinic/Center
  • Princeton, IN
National Provider Identifier
1770388787
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WILLIAMS BROS HEALTH CARE PHARMACY INC
Doing business as
Williams Bros. Health Care Pharmacy
Practice address
101 W Brumfield Ave
Princeton, IN 47670-1304
Phone
(812) 386-5194
NPI assigned
Feb 14, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLIAMS BROS. HEALTH CARE PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Charles Clayborne Williams III, RPH
Title
Ceo/Owner
Phone
(812) 254-2497

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

101 W Brumfield Ave
Princeton, IN 47670-1304

Mailing address

PO Box 271
Washington, IN 47501-0271
Phone (812) 254-2497

Other names 1

  • Williams Bros. Health Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122000495 IN Part B Supplier - Pharmacy 7315064615 1 other NPI on this enrollment
Practice locations: Princeton, IN

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Williams Bros HLTH Care16 organizations share this tax ID, including this one
Part of
Williams Bros HLTH Care

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Core of DaleDale, IN, CCN 155270 Skilled nursing facility Adp of the SNF Apr 1, 2008
Core of BedfordBedford, IN, CCN 155388 Skilled nursing facility Adp of the SNF Apr 1, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1770388787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010271",
            "telephone_number": "812-254-2497",
            "fax_number": "812-257-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BRUMFIELD AVE",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701304",
            "telephone_number": "812-386-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS BROS HEALTH CARE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAMS BROS. HEALTH CARE PHARMACY, INC",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CLAYBORNE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "812-254-2497",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Bros. Health Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.