Active NPI
Tyler Joseph Watson, PHARMD.
- Pharmacist
- Lake Stevens, WA
National Provider Identifier
1447682737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60363797
- Practice address
- 303 91St Ave NE
D401
Lake Stevens, WA 98258-2541 - Phone
- (425) 335-4513
- Fax
- (425) 334-7814
- NPI assigned
- Aug 8, 2013
- 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 | PH60363797 | WA | Primary |
Addresses
Primary practice location
303 91St Ave NE
D401
Lake Stevens, WA 98258-2541
Mailing address
303 91St Ave NE
D401
Lake Stevens, WA 98258-2541
Phone (425) 335-4513
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 |
|---|---|---|---|
| PH60363797 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1447682737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 91ST AVE NE",
"address_2": "D401",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982582541",
"telephone_number": "425-335-4513",
"fax_number": "425-334-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 91ST AVE NE",
"address_2": "D401",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982582541",
"telephone_number": "425-335-4513",
"fax_number": "425-334-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "TYLER",
"middle_name": "JOSEPH",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60363797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Stevens, WA
- Kayla Wartinger, PT, DPT
- Washington CVS Pharmacy LLC (Bartell Drugs #76)
- Washington CVS Pharmacy LLC (CVS Pharmacy #16672)
- Washington Dental Corporation PC (Lake Stevens Modern Dentistry)
- Rachel Kathryn Watson, PHARMD
- Wellness Workforce LLC
- Heather Michelle Welsh
- David M Wheeler, PT
- Justin E White, DPT
- Willetts Way ABA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.