Organization Active NPI

Williams Drugs Inc

Doing business as Williams Drug Store

  • Community/Retail Pharmacy
  • Surgoinsville, TN
National Provider Identifier
1801970496
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
BW1707 Issued in TN
Legal business name
WILLIAMS DRUGS INC
Doing business as
Williams Drug Store
Practice address
110 Bellamy Ave
Surgoinsville, TN 37873
Phone
(423) 345-3511
Fax
(423) 345-2181
NPI assigned
Oct 24, 2006
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
John Williams, DPHNPI 1679654735
Title
President
Phone
(423) 345-3511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X BW1707 TN Primary

Addresses

Primary practice location

110 Bellamy Ave
Surgoinsville, TN 37873

Mailing address

PO Box 74
Surgoinsville, TN 37873-0074

Other identifiers 1

IdentifierTypeStateIssuer
4422440OtherOTHER ID NUMBER

Other names 1

  • WILLIAMS DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

110 Bellamy Ave
Surgoinsville, TN 37873
Phone (423) 345-3511

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1801970496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "SURGOINSVILLE",
            "state": "TN",
            "postal_code": "378730074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BELLAMY AVE",
            "city": "SURGOINSVILLE",
            "state": "TN",
            "postal_code": "37873",
            "telephone_number": "423-345-3511",
            "fax_number": "423-345-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-345-3511",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "BW1707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4422440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAMS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surgoinsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.