WILLIAMS LTC PHARMACY, LLC
NPI 1770524472
Pharmacy - Long Term Care Pharmacy in Fishers, IN

Q: What is Williams Ltc Pharmacy, LLC's NPI number?

The NPI number for Williams Ltc Pharmacy, LLC is 1770524472. It was assigned to this organization in the NPPES registry on June 10, 2006.

Q: What is Williams Ltc Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since June 10, 2006CLIA 15D2204561 · Waiver

11900 EXIT 5 PKWY, FISHERS, IN 46037(317) 889-4125(317) 889-4134 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Apr 8, 2021, Dec 15, 2017 and 4 more (7 updates tracked since 2016).

On this page

About Williams Ltc Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAMS LTC PHARMACY, LLC (NPI 1770524472) is a healthcare organization registered as a long term care pharmacy in Fishers, Indiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Charles Clayborne Williams, Owner/chief Strategy Officer, as its authorized official.

NPPES Registry Identity

NPI1770524472

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameWILLIAMS LTC PHARMACY, LLC

Location Address11900 EXIT 5 PKWYFishers, IN 46037-7939

Mailing AddressPo Box 498Washington, IN 47501-0498 · (812) 254-2497 · Fax (812) 257-2592

Phone(317) 889-4125

Fax(317) 889-4134

Organization SubpartNo

Authorized OfficialCharles Clayborne WilliamsOwner/chief Strategy Officer · (812) 254-2497

Enumeration DateJune 10, 2006

Last NPPES UpdateApril 10, 20247 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1770524472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Licenses✔ Licensed in IN · 60006345A✔ Licensed in IL · 054.018509✔ Licensed in OH · NRP.022594950-03

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 60006345A (IN), 203.001778 (IL)

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 60006345A (IN), 203.001778 (IL)

Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License 60006345A (IN), 054.018509 (IL), NRP.022594950-03 (OH)

11900 EXIT 5 PKWY, Fishers, IN 46037

Open in Google Maps ↗

Other Names 1

Doing Business AsWilliams Ltc Pharmacy, Llc

Other Identifiers 2

Medicaid200446060AIN

Other2142039Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2204561

Williams Ltc Pharmacy · Fishers, IN

Active · expires Dec 8, 2026

CLIA Number15D2204561

Laboratory TypePharmacy

Certificate Effective DateDecember 9, 2024

Certificate Expiration DateDecember 8, 2026

Laboratory DirectorCharles C. Williams III

Laboratory Phone(812) 254-2497

Laboratory LocationWilliams Ltc Pharmacy11900 Exit 5 Parkway, Fishers, IN 46037

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

672 services672 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

163 services163 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

163 services163 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

72 services72 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Williams Ltc Pharmacy, LLC's NPI number?

The NPI number for Williams Ltc Pharmacy, LLC is 1770524472. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Williams Ltc Pharmacy, LLC located?

Williams Ltc Pharmacy, LLC is located at 11900 Exit 5 Pkwy, Fishers, IN 46037. The listed phone number is (317) 889-4125.

What is Williams Ltc Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Williams Ltc Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2204561) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Williams Ltc Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Williams Ltc Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Williams Ltc Pharmacy, LLC was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.