Individual provider Active NPI

James Robert Watts II, R. PH.

  • Pharmacist
  • Aiken, SC
National Provider Identifier
1437146347
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6388 Issued in SC
Practice address
333 Newberry St NW
Aiken, SC 29801-3929
Phone
(803) 649-1776
Fax
(803) 641-0205
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6388 SC Primary

Addresses

Primary practice location

333 Newberry St NW
Aiken, SC 29801-3929

Mailing address

333 Newberry St NW
Aiken, SC 29801-3929
Phone (803) 599-1776

Other identifiers 8

IdentifierTypeStateIssuer
726932MedicaidSC
SC 6388OtherSCPHARMACIST LICENSE NUMBER
DME636MedicaidSC
57-0946943OtherSCFEDERAL TAX ID -MJW
4214627OtherSCNABP NUMBER-FAMILY PHARM
4225050OtherSCNABP -AIKEN COMPOUND PHAR
50-007327OtherSCPHCY LICENSE- AIKEN COMPD
SC 2693OtherSCFAMILY PHARMACY LIC #

Other names 1

  • Mr. Jay Robert Watts Professional name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
6388SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MJW Corporation Past Accepting new patients
M J W Corportation PastSince Dec 13, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1437146347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-599-1776",
            "fax_number": "803-649-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-649-1776",
            "fax_number": "803-641-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "R. PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "6388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726932",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "SC  6388",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME636",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID -MJW",
            "identifier": "57-0946943",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER-FAMILY PHARM",
            "identifier": "4214627",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP -AIKEN COMPOUND PHAR",
            "identifier": "4225050",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCY LICENSE- AIKEN COMPD",
            "identifier": "50-007327",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PHARMACY LIC #",
            "identifier": "SC 2693",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "WATTS",
            "middle_name": "ROBERT",
            "prefix": "MR.",
            "credential": "R. PH.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.