Active NPI
Brandon Tyler Watson
- Pharmacist
- Moody, AL
National Provider Identifier
1326619438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21956
- Practice address
- 2200 Village Dr
Moody, AL 35004-3241 - Phone
- (205) 640-3237
- NPI assigned
- Jul 9, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 21956 | AL | Primary |
Addresses
Primary practice location
2200 Village Dr
Moody, AL 35004-3241
Mailing address
8604 Highlands Trce
Trussville, AL 35173-3819
Phone (205) 612-5450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21956 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1326619438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8604 HIGHLANDS TRCE",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351733819",
"telephone_number": "205-612-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 VILLAGE DR",
"city": "MOODY",
"state": "AL",
"postal_code": "350043241",
"telephone_number": "205-640-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "BRANDON",
"middle_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moody, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.