Organization Active NPI

Watt Bros Pharmacy Inc

Doing business as Watt Brothers Pharmacy

  • Community/Retail Pharmacy
  • Springfield, IL
National Provider Identifier
1053483834
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1427601OtherOTHER ID NUMBER-COMMERCIAL NUMBER
364155418001MedicaidIL

Other names 1

  • WATT BROTHERS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.