Active NPI
Crystal Chapman Watts, PHARMD
- Pharmacist
- Blythewood, SC
National Provider Identifier
1366842916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12549
- Practice address
- 428 McNulty St
#4
Blythewood, SC 29016-8926 - Phone
- (803) 786-0331
- NPI assigned
- Sep 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12549 | SC | Primary |
| Pharmacist | 183500000X | 23071 | NC |
Addresses
Primary practice location
428 McNulty St
#4
Blythewood, SC 29016-8926
Mailing address
PO Box 949
Blythewood, SC 29016-0949
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 |
|---|---|---|---|
| 23071 | NC | MD | Pharmacist |
| 12549 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1366842916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290160949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 MCNULTY ST",
"address_2": "#4",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290168926",
"telephone_number": "803-786-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "CRYSTAL",
"middle_name": "CHAPMAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12549",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23071",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.