WILLIAMS LTC PHARMACY LLC NPI 1770524472

NPI Information

NPI: 1770524472
Provider Name: WILLIAMS LTC PHARMACY, LLC

Doing Business As: WILLIAMS LTC PHARMACY, LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
11900 EXIT 5 PKWY
FISHERS, IN
ZIP 46037
Phone: (317) 889-4125
Get Directions

WILLIAMS LTC PHARMACY, LLC is a long term care pharmacy pharmacy in Fishers, IN. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WILLIAMS LTC PHARMACY, LLC NPI is 1770524472. The provider is registered as an organization entity type.
The provider Is Doing Business As Williams Ltc Pharmacy, Llc.

The provider's business location address is:

11900 EXIT 5 PKWY
FISHERS, IN
ZIP 46037-939
Phone: (317) 889-4125
Fax: (317) 889-4134

The provider's authorized official is Charles Clayborne Williams .
The authorized official title is Owner/chief Strategy Officer and has the following contact phone number (812) 254-2497.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		60006345A	INDIANA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		203.001778	ILLINOIS	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	60006345A	INDIANA	No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	203.001778	ILLINOIS	No
5	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	60006345A	INDIANA	No
6	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	054.018509	ILLINOIS	No
7	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	NRP.022594950-03	OHIO	No
8	3336L0003X	Pharmacy	Long Term Care Pharmacy	054.018509	ILLINOIS	No
9	3336L0003X	Pharmacy	Long Term Care Pharmacy	60006345A	INDIANA	Yes
10	3336L0003X	Pharmacy	Long Term Care Pharmacy	NRP.022594950-03	OHIO	No
11	3336L0003X	Pharmacy	Long Term Care Pharmacy			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200446060A	MEDICAID	INDIANA
2	2142039	OTHER		PK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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