WILLIAMS MEDCO INC NPI 1639162217

NPI Information

  • NPI: 1639162217
  • Provider Name: WILLIAMS MEDCO INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: WILLIAM'S FAIRWAY DRUG #1162
  • Address: 2515 NEWBURG HWY
    WOODBURN, OR
    ZIP 97071
  • Phone: (503) 981-3591

Map and Directions

Get Directions

NPI Details

WILLIAMS MEDCO INC is a pharmacy in Woodburn, OR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. WILLIAMS MEDCO INC NPI is 1639162217. The provider is registered as an organization entity type.
The provider Is Doing Business As William's Fairway Drug #1162.

The provider's business location address is:

2515 NEWBURG HWY
WOODBURN, OR
ZIP 97071
Phone: (503) 981-3591
Fax: (503) 982-0566

The provider's authorized official is Jack L. Holt .
The authorized official title is Owner and has the following contact phone number (503) 981-3591.

The enumeration date for this NPI number is 8/29/2005 and was last updated on 11/1/2010.

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
1333600000XPharmacyRP-0000585-CSOREGONNo
2333600000XPharmacyRP0000585CSOREGONYes

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
1R155416MEDICARE PINOREGON
2119680MEDICAIDOREGON
338-11216OTHERNCPDP

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI