Active NPI
William Watt, PHARM. D.
- Pharmacist
- South Haven, MI
National Provider Identifier
1356516538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035659
- Practice address
- 1100 Phoenix St
South Haven, MI 49090-7912 - Phone
- (269) 637-1457
- Fax
- (269) 637-1613
- NPI assigned
- Apr 28, 2008
- Last updated
- May 2, 2008
- 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 | 5302035659 | MI | Primary |
Addresses
Primary practice location
1100 Phoenix St
South Haven, MI 49090-7912
Mailing address
7262 Atlantic Ave
South Haven, MI 49090-9526
Phone (269) 639-2134
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035659 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1209686400000",
"number": "1356516538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7262 ATLANTIC AVE",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490909526",
"telephone_number": "269-639-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 PHOENIX ST",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490907912",
"telephone_number": "269-637-1457",
"fax_number": "269-637-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "WILLIAM",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Haven, MI
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1540)
- Wal-Mart Stores East, LP (Vision Center 30-1540)
- Walgreen Co (Walgreens #09691)
- Xavier Ward
- Water's Edge Counseling Services, LLC
- Sarah Elizabeth Wayner-Bristol
- Christopher Wendling, AT
- Wendy Dykstra LLC
- James L. Wertheimer, PA
- West Side Family Mental Health Clinic, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.