Active NPI
Williams Drug Company
- Community/Retail Pharmacy
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WILLIAMS DRUG COMPANY
- Practice address
- 8916 Brodie Lane Suite 300
Austin, TX 78748-7874 - Phone
- (512) 362-8083
- Fax
- (512) 362-8550
- NPI assigned
- Aug 25, 2017
- 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
- Aaron Williams, PHARMD
- Title
- Owner/Pharmacist
- Phone
- (580) 678-4784
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 31570 | TX | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
8916 Brodie Lane Suite 300
Austin, TX 78748-7874
Mailing address
12401 Alcanza Dr
Austin, TX 78739-1963
Phone (580) 678-4784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149705 | Medicaid | TX |
Other names 1
- Brodie Lane Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171017001955 | TX | Part B Supplier - Pharmacy | 3375819451 | Practice locations: Austin, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2171777 | Brodie Lane Pharmacy | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
8916 Brodie Ln
Unit 300
Austin, TX 78748
Phone (512) 362-8083
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Austin, TX
- NPI 1417285263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586822400000",
"number": "1851818249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 ALCANZA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787391963",
"telephone_number": "580-678-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8916 BRODIE LANE SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787487874",
"telephone_number": "512-362-8083",
"fax_number": "512-362-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS DRUG COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-25",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "580-678-4784",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "31570",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149705",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brodie Lane Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brodie Lane Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.