MEDICARE: WILLIAMSON PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	027549	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3348883	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1215901905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMSON PHARMACY LLC

Provider Business Mailing Address
First Line	:	4102 PEARSALL ST
Second Line	:
City	:	WILLIAMSON
State	:	NY
Zip	:	14589-9270
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4102 PEARSALL ST
Second Line	:
City	:	WILLIAMSON
State	:	NY
Zip	:	14589-9270
Country	:	US
Telephone Number	:	315-589-3333
Fax Number	:	315-589-3335

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	MARK HERMENET
Credential	:
Telephone Number	:	315-521-0646

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1508829284 — DR. KRISHNA VIJAY PERSAUD MD
Practice Location Address:

4418 E RIDGE RD , WILLIAMSON MEDICAL PLLC
WILLIAMSON, NY
14589-9375

Practice Phone: 315-589-4641
Practice Fax: 315-589-9585

1154369098 — WAYNE REGIONAL ORTHOPAEDICS PLLC
Practice Location Address:

4425 OLD RIDGE RD , STE 100
WILLIAMSON, NY
14589-0897

Practice Phone: 315-589-2800
Practice Fax: 315-589-4420

1801835244 — FINGER LAKES HAND SURGERY PLLC
Practice Location Address:

4425 OLD RIDGE RD , STE 100
WILLIAMSON, NY
14589-0897

Practice Phone: 315-589-2800
Practice Fax: 315-589-4420

1871525691 — DR. RONALD E BERGER DDS
Practice Location Address:

3800 RAILROAD AVE
WILLIAMSON, NY
14589-9340

Practice Phone: 315-589-4471
Practice Fax:

1427079276 — NATASHA N SODHI MD
Practice Location Address:

4418 RIDGE RD E , WILLIAMSON MEDICAL PLLC
WILLIAMSON, NY
14589-9375

Practice Phone: 315-589-4641
Practice Fax: 315-589-9585

1356353023 — DR. SANDRA A HELLMANN M.D.
Practice Location Address:

4425 OLD RIDGE RD
WILLIAMSON, NY
14589-9363

Practice Phone: 315-483-3280
Practice Fax: 315-589-4893

Directions to “WILLIAMSON PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.