Active NPI
Maura Watson
- Pharmacist
- Depew, NY
National Provider Identifier
1336314616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042842
- Practice address
- 4815 Broadway
Depew, NY 14043 - Phone
- (716) 683-7971
- NPI assigned
- Apr 28, 2008
- Last updated
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 042842 | NY | Primary |
Addresses
Primary practice location
4815 Broadway
Depew, NY 14043
Mailing address
19 Hampton Court
Orchard Park, NY 14127
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 |
|---|---|---|---|
| 042842 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1336314616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HAMPTON COURT",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 BROADWAY",
"city": "DEPEW",
"state": "NY",
"postal_code": "14043",
"telephone_number": "716-683-7971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
- Christina Marie Walkowski, DC
- Brianna Marie Wallenhorst, MD, RD
- James Andrew Walsh, PHARMD
- David Peter Warchal Jr.
- Jennifer Warrington, RPH
- Nicole Margaret Weaver, SCHOOL COUNSELOR
- Mariel Webber, D.D.S.
- Erica Janette Weber, PHARMD
- Wegmans Food Markets, Inc. (Wegmans Pharmacy #080)
- Wegmans Food Markets, Inc. (Wegmans Pharmacy #087)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.