Individual provider Active NPI

Brooke Watson, RPH

  • Pharmacist
  • Patterson, CA
National Provider Identifier
1053282194
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
91332 Issued in CA
Practice address
101 S del Puerto Ave
Patterson, CA 95363-2544
Phone
(209) 892-8444
Fax
(209) 892-8472
NPI assigned
Sep 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 91332 CA Primary

Addresses

Primary practice location

101 S del Puerto Ave
Patterson, CA 95363-2544

Mailing address

101 S del Puerto Ave
Patterson, CA 95363-2544
Phone (209) 892-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
91332CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Patterson Family Pharmacy, Inc. CurrentSince Sep 14, 2025 Accepting new patients
Patterson Family Pharmacy, Inc. CurrentSince Sep 14, 2025 Accepting new patients

Locations

101 S Del Puerto Ave
Patterson, CA 95363
Phone (209) 892-8444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1053282194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S DEL PUERTO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632544",
            "telephone_number": "209-892-8444",
            "fax_number": "209-892-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S DEL PUERTO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632544",
            "telephone_number": "209-892-8444",
            "fax_number": "209-892-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BROOKE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "91332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.