Lara Watt

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS48220 Issued in FL

Practice address

250 E Miracle Strip Pkwy
Mary Esther, FL 32569-1924

Phone

(850) 243-9557

NPI assigned

Aug 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: wiley.69@osu.edu

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1376823633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SHORE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505278",
            "telephone_number": "614-638-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E MIRACLE STRIP PKWY",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691924",
            "telephone_number": "850-243-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATT",
        "first_name": "LARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Wiley.69@osu.edu",
            "affiliation": "N",
            "address_1": "250 E Miracle Strip Pkwy",
            "city": "Mary Esther",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325691924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martha Lawson Van Dam, M.S., NCC
• Micheal Villanueva
• Allison E. Vinson, LCSW
• Visionworks, Inc.
• Jacqueline Elinor Watkins, RN, BSN
• Julie Webb, LMHC, BCBA
• Trenten D Weser, D.C.
• Lindsey Adell White
• Destanie Ann Whittle
• Abigail Williams

• Pharmacist in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.