Brian L Watta, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

043492 Issued in NY

Practice address

45 S Service Rd
Plainview, NY 11803-4100

Phone

(516) 396-8842

NPI assigned

Feb 17, 2010

Sex

Male

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.

• Coram Healthcare Corporation of Greater New York

  • Home Infusion Agency
  • Cohoes, NY
  • NPI 1891071098
  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1275855363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 11TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043620",
            "telephone_number": "516-396-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S SERVICE RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034100",
            "telephone_number": "516-396-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTA",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaan M. Waqar, M.D.
• Maria P. Warrack, LCSW
• Lauren Nicole Wasserman, PT, DPT
• Amir Wassif
• Brianna Nicole Watt
• Noreen Weber
• Peter Alex Weil, MD
• Gary Lee Weinberger, D.D.S.,M.SC.D.
• Todd Weinberger, DMD
• Stanley Weindorf, M.D.

• Pharmacist in Plainview, NY
• Providers in Plainview, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.