Lisa McBroom Watson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

29116 Issued in TX

Practice address

910 River Rd Ste 103
Boerne, TX 78006-2441

Phone

(830) 816-5384

Fax

(830) 331-7405

NPI assigned

Dec 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Road Pharmacy

  • Community/Retail Pharmacy
  • Boerne, TX
  • NPI 1184151532
  NPD (past)

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1093303448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 STEEL VALLEY DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067018",
            "telephone_number": "361-441-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 RIVER RD STE 103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062441",
            "telephone_number": "830-816-5384",
            "fax_number": "830-331-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LISA",
        "middle_name": "MCBROOM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Ivette Wallace, AGACNP-BC
• Douglas Walls, LVN
• Kelley Ward, LPC-INTERN
• Wayne Edward Wartian
• Gayle Waterbury, LVN
• Kathy Lynn Webster, M.A., CCC-SLP
• Megan Marie Weed
• Eunjung Amy Weikle, D.O.
• Wells Physical Therapy of Boerne, P.L.L.C.
• Amanda Lawrence Wells, OTR

• Pharmacist in Boerne, TX
• Providers in Boerne, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.