Active NPI
Watt Bros Pharmacy Inc
Doing business as Watt Brothers Pharmacy
- Community/Retail Pharmacy
- Springfield, IL
National Provider Identifier
1053483834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WATT BROS PHARMACY INC
- Doing business as
- Watt Brothers Pharmacy
- Practice address
- 830 N Grand Ave E
Springfield, IL 62702-3933 - Phone
- (217) 522-3331
- Fax
- (217) 522-9029
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Watt, RPH
- Title
- Pre
- Phone
- (217) 522-3331
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Pharmacy | 333600000X | IL |
Addresses
Primary practice location
830 N Grand Ave E
Springfield, IL 62702-3933
Mailing address
830 N Grand Ave E
Springfield, IL 62702-3933
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427601 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 364155418001 | Medicaid | IL |
Other names 1
- WATT BROTHERS PHARMACY
National Provider Directory
National Provider DirectoryLocations
830 E North Grand Ave
Springfield, IL 62702
Phone (217) 522-3331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1053483834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 N GRAND AVE E",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 N GRAND AVE E",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023933",
"telephone_number": "217-522-3331",
"fax_number": "217-522-9029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATT BROS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WATT",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRE",
"authorized_official_telephone_number": "217-522-3331",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1427601",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364155418001",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WATT BROTHERS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.