Organization Active NPI

Williamsburg Drug Co., Inc

Doing business as Williamsburg Drug Company LTC

  • Long Term Care Pharmacy
  • Williamsburg, VA
National Provider Identifier
1780303032
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WILLIAMSBURG DRUG CO., INC
Doing business as
Williamsburg Drug Company LTC
Williamsburg Drug LTC
Practice address
240 McLaws Cir Ste 147
Williamsburg, VA 23185-6429
Phone
(757) 229-1041
Fax
(757) 229-3780
NPI assigned
Aug 22, 2022
Organization subpart
Yes
Parent organization
WILLIAMSBURG DRUG CO., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Thomas W Taylor, RPH
Title
Owner
Phone
(757) 229-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

240 McLaws Cir Ste 147
Williamsburg, VA 23185-6429

Mailing address

1310 Jamestown Rd
Williamsburg, VA 23185-3309
Phone (757) 229-3560

Other identifiers 1

IdentifierTypeStateIssuer
114721920MedicaidVA

Other names 2

  • Williamsburg Drug Company LTC Doing business as
  • Williamsburg Drug LTC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@williamsburgdrug.com Direct

National Provider Directory

National Provider Directory
Part of
Professional Pharmacy O

Locations

240 McLaws Cir
Ste 147
Williamsburg, VA 23185
Phone (757) 229-1041

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1780303032",
    "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": "240 MCLAWS CIR STE 147",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856429",
            "telephone_number": "757-229-1041",
            "fax_number": "757-229-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG DRUG CO., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAMSBURG DRUG CO., INC",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-229-1041",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114721920",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@williamsburgdrug.com",
            "affiliation": "N",
            "endpointDescription": "info@williamsburgdrug.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "240 McLaws Cir Ste 147",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231856429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Williamsburg Drug Company LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamsburg Drug LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.