Organization Active NPI

Williams Drugs, Inc

  • Clinic Pharmacy
  • Webster City, IA
National Provider Identifier
1790790301
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
225 Issued in IA
Legal business name
WILLIAMS DRUGS, INC
Practice address
611 - 2ND St
Webster City, IA 50595-1438
Phone
(515) 832-1150
Fax
(515) 832-1752
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Mrs. Denise A Ricklefs, REGISTERED PHARMACIS
Title
Pharmacist in Charge
Phone
(515) 832-1150

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 225 IA Primary
Community/Retail Pharmacy 3336C0003X 225 IA

Addresses

Primary practice location

611 - 2ND St
Webster City, IA 50595-1438

Mailing address

611 - 2ND St
Webster City, IA 50595-1438
Phone (515) 832-1150

Other identifiers 3

IdentifierTypeStateIssuer
225OtherIAPHARMACY LICENSE
0019513MedicaidIA
1603782OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WILLIAMS DRUG CO INC Doing business as

National Provider Directory

National Provider Directory

Locations

611 2nd St
Webster City, IA 50595
Phone (515) 832-1150

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1790790301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 - 2ND ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505951438",
            "telephone_number": "515-832-1150",
            "fax_number": "515-832-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 - 2ND ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505951438",
            "telephone_number": "515-832-1150",
            "fax_number": "515-832-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "RICKLEFS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "515-832-1150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IA",
            "license": "225",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "225",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019513",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1603782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAMS DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.