Nicole Watson

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

30302089 Issued in PA

Practice address

100 Weis LN
West Hazleton, PA 18202-1207

Phone

(570) 455-6670

NPI assigned

Sep 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weis Markets Inc

  • Community/Retail Pharmacy
  • Hazleton, PA
  • NPI 1396778627
  NPD (past)
• Weis Markets Inc

  • Community/Retail Pharmacy
  • Waldorf, MD
  • NPI 1609739366
  NPD (past)

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1376424408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEIS LN",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "182021207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEIS LN",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "182021207",
            "telephone_number": "570-455-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PA",
            "license": "30302089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Roush, PA-C
• Yamunadevi Sadasivan, M.D
• Amanda Sember
• Stish Family Practice PC
• Eugene R. Stish, MD
• Cassandra Marie Yalch, PA-C
• Shane S Young, M.D.
• Joseph Edward Zola, PHARMD

• Pharmacy Technician in West Hazleton, PA
• Providers in West Hazleton, PA by specialty
• Pharmacy Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.