Individual provider Active NPI

Rebecca Heavner Watson, R.PH.

  • Pharmacist
  • Hildebran, NC
National Provider Identifier
1063717601
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11355 Issued in NC
Practice address
200 US Highway 70a E
Hildebran, NC 28637-8108
Phone
(828) 397-7479
Fax
(828) 397-2031
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11355 NC Primary

Addresses

Primary practice location

200 US Highway 70a E
Hildebran, NC 28637-8108

Mailing address

200 US Highway 70a E
Hildebran, NC 28637-8108
Phone (828) 397-7479

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
11355NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1063717601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 US HIGHWAY 70A E",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286378108",
            "telephone_number": "828-397-7479",
            "fax_number": "828-397-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 US HIGHWAY 70A E",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286378108",
            "telephone_number": "828-397-7479",
            "fax_number": "828-397-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "REBECCA",
        "middle_name": "HEAVNER",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "11355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hildebran, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.