Watson Drug Store LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

8056 Issued in AL

Legal business name

WATSON DRUG STORE LLC

Practice address

121 N Center Ave
Piedmont, AL 36272-2013

Phone

(256) 447-9093

Fax

(256) 447-2927

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John H Roberts, RPH

Title

Owner

Phone

(256) 447-9093

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073609137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N CENTER AVE",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362722013",
            "telephone_number": "256-447-9093",
            "fax_number": "256-447-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N CENTER AVE",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362722013",
            "telephone_number": "256-447-9093",
            "fax_number": "256-447-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-447-9093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "8056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000364",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Piedmont, AL
• Providers in Piedmont, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.