Organization Active NPI

Watsons Pharmacy

  • Community/Retail Pharmacy
  • Cranston, RI
National Provider Identifier
1093832461
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA00365 Issued in RI
Legal business name
WATSONS PHARMACY
Practice address
2206 Broad St
Cranston, RI 02905-3332
Phone
(401) 781-1313
Fax
(401) 781-4309
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Sandra Panosian
Title
Manager
Phone
(401) 781-1313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHA00365 RI Primary

Addresses

Primary practice location

2206 Broad St
Cranston, RI 02905-3332

Mailing address

2206 Broad St
Cranston, RI 02905-3332

Other identifiers 3

IdentifierTypeStateIssuer
4100563OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4100563OtherOTHER ID NUMBER
CP00381MedicaidRI

Other names 1

  • CAMERONS PAWTUXET PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

2206 Broad St
Cranston, RI 02905
Phone (401) 781-1313

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1093832461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 BROAD ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029053332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 BROAD ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029053332",
            "telephone_number": "401-781-1313",
            "fax_number": "401-781-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSONS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "PANOSIAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-781-1313"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "PHA00365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4100563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4100563",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP00381",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMERONS PAWTUXET PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.