Watkins Pharmacy & Surgical Supply

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009613 Issued in MI

Legal business name

WATKINS PHARMACY & SURGICAL SUPPLY

Doing business as

Watkins Pharmacy & Surgical Supply

Practice address

1391 E Sherman Blvd
Muskegon, MI 49444-1802

Phone

(231) 739-7158

Fax

(231) 739-8024

NPI assigned

Nov 29, 2006

Last updated

Aug 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darren Miller, RPHNPI 1649347311

Title

Co-Owner

Phone

(231) 739-7158

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• WATKINS PHARMACY & SURGICAL SUPPLY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darren James Miller, RPH

  • Pharmacist
  • Muskegon, MI
  • NPI 1649347311
  NPD Authorized official
• Megan Jeanine Grelewicz, PHARMD

  • Pharmacist
  • Muskegon, MI
  • NPI 1366519035
  NPD (past)
• Klaid Hyso, PHARMD

  • Pharmacist
  • Muskegon, MI
  • NPI 1851677058
  NPD (past)
• Steven Edward Leafers, RPH

  • Pharmacist
  • Muskegon, MI
  • NPI 1942377627
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1306913900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441802",
            "telephone_number": "231-739-7158",
            "fax_number": "231-739-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441802",
            "telephone_number": "231-739-7158",
            "fax_number": "231-739-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS PHARMACY & SURGICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "231-739-7158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATKINS PHARMACY & SURGICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WATKINS PHARMACY & SURGICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Louise Washington, RN
• Tony Lee Waskey Jr., D.O.
• Brenda Ann Waslusky, BS
• Teah Mae Waterman, LLMSW
• Alan D Waters
• Thomas Lee Watkins, D.O.
• Briana Alexandra Watson
• Karin Watson, LMSW
• Mae Watson
• Brooke Watt

• Community/Retail Pharmacy in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.