Active NPI
Alvin Watts III
- Pharmacist
- Grosse Tete, LA
National Provider Identifier
1073782330
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Mar 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18168
- Practice address
- 17275 Highway 77
Grosse Tete, LA 70740-3008 - Phone
- (225) 281-7485
- Fax
- (225) 208-1501
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18168 | LA | Primary |
Addresses
Primary practice location
17275 Highway 77
Grosse Tete, LA 70740-3008
Mailing address
17275 Highway 77
Grosse Tete, LA 70740-3008
Phone (225) 281-7485
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18168 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1073782330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17275 HIGHWAY 77",
"city": "GROSSE TETE",
"state": "LA",
"postal_code": "707403008",
"telephone_number": "225-281-7485",
"fax_number": "225-208-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17275 HIGHWAY 77",
"city": "GROSSE TETE",
"state": "LA",
"postal_code": "707403008",
"telephone_number": "225-281-7485",
"fax_number": "225-208-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "ALVIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Tete, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.