Watson DS, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

229 Issued in FL

Legal business name

WATSON DS, INC.

Practice address

4422 Lafayette St
Marianna, FL 32446-3309

Phone

(850) 482-4035

Fax

(850) 526-3322

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Philip Watson

Title

Owner

Phone

(850) 482-4035

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WATSON MEDEquip Store Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1356453286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324470188",
            "telephone_number": "850-482-4035",
            "fax_number": "850-482-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 LAFAYETTE ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463309",
            "telephone_number": "850-482-4035",
            "fax_number": "850-526-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON DS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-482-4035"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100482400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATSON MEDEquip Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Danielle L Walker, PA-C
• Elyssa Waller, DC
• Mary Monica Watkins-Clay, PH.D.
• Jimmy Watts
• Angelica Webb
• Wensi Natasha West, L.M.T.
• Ashley B. Wester, A.R.N.P
• Hanna Donofro Wheetley, OTR/L

• Durable Medical Equipment & Medical Supplies in Marianna, FL
• Providers in Marianna, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.