Williamsburg Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P02254 Issued in KY

Legal business name

WILLIAMSBURG PHARMACY INC

Doing business as

Maiden Drug Company

Practice address

327 Main St
Williamsburg, KY 40769-1123

Phone

(606) 549-0449

Fax

(606) 549-3233

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Jonathan Powers, R.PH.NPI 1992410773

Title

President

Phone

(606) 549-0449

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAIDEN DRUG COMPANY Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

Maiden Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Williamsburg Pharmacy

  dba Maiden Drug Company

  • Durable Medical Equipment & Medical Supplies
  • Williamsburg, KY
  • NPI 1437324035
  NPD tax ID

Locations

Practitioners 3

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.

• Edward Jonathan Powers

  • Pharmacist
  • Williamsburg, KY
  • NPI 1992410773
  NPD Authorized official
• Roger Powers, PHARMACIST

  • Pharmacist
  • Williamsburg, KY
  • NPI 1154870012
  NPD (past)
• Ciera D Swords

  • Pharmacist
  • Williamsburg, KY
  • NPI 1790030203
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861528499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691123",
            "telephone_number": "606-549-0449",
            "fax_number": "606-549-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691123",
            "telephone_number": "606-549-0449",
            "fax_number": "606-549-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-549-0449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P02254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54025325",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIDEN DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Williamsburg Family Practice Clinic
• Williamsburg Family Practice Clinic, Inc.
• Williamsburg Independent School District
• Williamsburg Nursing Home, Inc. (Williamsburg Nursing Home)
• Williamsburg Pharmacy (Maiden Drug Company)
• Kelli Leigh Williamson, M.S., CF-SLP
• Dylan Lee Wilson, PT,DPT
• Windham Drug Inc (Windham Drug)
• Windham Drug Inc
• Windham Drug North, Inc (Windham Drug North)

• Community/Retail Pharmacy in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.