Organization Active NPI

Williams Drug Company

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1851818249
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Aaron Williams, PHARMDNPI 1417285263
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149705MedicaidTX

Other names 1

  • Brodie Lane Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171017001955 TX Part B Supplier - Pharmacy 3375819451 Practice locations: Austin, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2171777Brodie Lane Pharmacy8916 Brodie Lane, Ste. 300, Austin, TX 78748Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.