WILLIAMS LTC PHARMACY LLC NPI 1770524472

NPI Information

  • NPI: 1770524472
  • Provider Name: WILLIAMS LTC PHARMACY, LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: WILLIAMS LTC PHARMACY, LLC
  • Address: 11900 EXIT 5 PKWY
    FISHERS, IN
    ZIP 46037
  • Phone: (317) 889-4125

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

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
1332B00000XDurable Medical Equipment & Medical Supplies60006345AINDIANANo
2332B00000XDurable Medical Equipment & Medical Supplies203.001778ILLINOISNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition60006345AINDIANANo
4332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition203.001778ILLINOISNo
53336H0001XPharmacyHome Infusion Therapy Pharmacy60006345AINDIANANo
63336H0001XPharmacyHome Infusion Therapy Pharmacy054.018509ILLINOISNo
73336H0001XPharmacyHome Infusion Therapy PharmacyNRP.022594950-03OHIONo
83336L0003XPharmacyLong Term Care Pharmacy054.018509ILLINOISNo
93336L0003XPharmacyLong Term Care Pharmacy60006345AINDIANAYes
103336L0003XPharmacyLong Term Care PharmacyNRP.022594950-03OHIONo
113336L0003XPharmacyLong Term Care PharmacyNo

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
1200446060AMEDICAIDINDIANA
22142039OTHERPK

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

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