WINDHAM DRUG INC (NPI# 1356514632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356514632 |
| Entity Type | Organization |
| Organization Name | WINDHAM DRUG INC |
| Other Organization Name | WINDHAM DRUG |
| Practice Address |
1605 S Highway 25 W Williamsburg KY 40769-1610 |
| Practice Telephone | 6065493636 |
| Practice Fax Number | 6065499155 |
| Mailing Telephone | 6065493636 |
| Mailing Fax Number | 6065499155 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | JUSTIN SMITH (VICE-PRESIDENT) |
| Authorized Official Telephone | 6065493636 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07247 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100037700 | 05 | |
| PK | 2035127 | 01 |
| Other Name | Type Code |
|---|---|
| WINDHAM DRUG | Doing Business As Name - Organization |
| Street Address |
1605 S HIGHWAY 25 W |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 40769-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558544403 | Warren Brooks Gardner | Pharmacist | 1605 S Highway 25 W, Williamsburg, KY 40769-1610 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644166 | The Prescription Shoppe LLC | Pharmacy | 5223 Monticello Ave Ste C, Williamsburg, VA 23188-8236 | 2018-09-29 |
| 1336473024 | Harris Teeter, LLC | Pharmacy | 1470 Quarterpath Rd, Williamsburg, VA 23185-6500 | 2009-09-28 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1922020601 | Virginia Cvs Pharmacy LLC | Pharmacy | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2006-07-24 |
| 1811988298 | Jamestown Pharmacy Care Center | Pharmacy | 1781 Jamestown Rd, Ste 160, Williamsburg, VA 23185-2363 | 2005-11-03 |
| 1043831761 | Williamsburg Pharmacy Inc | Pharmacy | 318 E 1st St, Williamsburg, PA 16693-1006 | 2020-05-04 |
| 1811517725 | Windham Drug North, Inc | Pharmacy | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2020-04-21 |
| 1245637529 | Hartig Drug Co Corp | Pharmacy | 517 Court Street, Williamsburg, IA 52361 | 2014-12-02 |
| 1861528499 | Williamsburg Pharmacy Inc | Pharmacy | 327 Main St, Williamsburg, KY 40769-1123 | 2007-02-26 |
| 1477688646 | Whitley Pharmacy, Inc. | Pharmacy | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2007-02-21 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.