Active NPI
Eric Symonds, PHARMD
- Pharmacist
- Watertown, NY
National Provider Identifier
1457470957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069015
- Practice address
- 21800 Towne Center Dr
Watertown, NY 13601-5898 - Phone
- (315) 786-2541
- NPI assigned
- Mar 28, 2007
- Last updated
- May 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16889 | NC | |
| Pharmacist | 183500000X | 069015 | NY | Primary |
Addresses
Primary practice location
21800 Towne Center Dr
Watertown, NY 13601-5898
Mailing address
747 Amalfi Dr
Davidson, NC 28036-6928
Other practice location 1
9915 Park Cedar Dr
Charlotte, NC 28210-8905
Phone (704) 544-3263
Other practice location 2
127 S Main St
Davidson, NC 28036-8096
Phone (704) 892-7211
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 |
|---|---|---|---|
| 069015 | NY | MD | Social Worker |
| 16889 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1457470957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 AMALFI DR",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280366928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21800 TOWNE CENTER DR",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015898",
"telephone_number": "315-786-2541"
}
],
"practiceLocations": [
{
"address_1": "9915 Park Cedar Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108905",
"country_code": "US",
"telephone_number": "704-544-3263",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 S Main St",
"address_purpose": "LOCATION",
"city": "Davidson",
"state": "NC",
"postal_code": "280368096",
"country_code": "US",
"telephone_number": "704-892-7211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYMONDS",
"first_name": "ERIC",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16889",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.