Active NPI
James Robert Watts II, R. PH.
- Pharmacist
- Aiken, SC
National Provider Identifier
1437146347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6388
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 726932 | Medicaid | SC | |
| SC 6388 | Other | SC | PHARMACIST LICENSE NUMBER |
| DME636 | Medicaid | SC | |
| 57-0946943 | Other | SC | FEDERAL TAX ID -MJW |
| 4214627 | Other | SC | NABP NUMBER-FAMILY PHARM |
| 4225050 | Other | SC | NABP -AIKEN COMPOUND PHAR |
| 50-007327 | Other | SC | PHCY LICENSE- AIKEN COMPD |
| SC 2693 | Other | SC | FAMILY PHARMACY LIC # |
Other names 1
- Mr. Jay Robert Watts
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6388 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJW Corporation | Past | Accepting new patients | |
| M J W Corportation | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Aiken, SC
- NPI 1790772598
-
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1659572345
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.