Watson Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24358 Issued in FL

Legal business name

WATSON PHARMACY INC

Practice address

8058 Old Kings Rd S
Jacksonville, FL 32217-4102

Phone

(904) 619-5523

Fax

(904) 619-5527

NPI assigned

Nov 25, 2009

Organization subpart

No

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

Authorized official

Name

Frank Gazaleh

Title

President/Pharmacy Manager

Phone

(904) 504-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Watson Pharmacy, Inc. Doing business as

Locations

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1487982765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24569",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322414569",
            "telephone_number": "904-619-5523",
            "fax_number": "904-619-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8058 OLD KINGS RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174102",
            "telephone_number": "904-619-5523",
            "fax_number": "904-619-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "GAZALEH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACY MANAGER",
        "authorized_official_telephone_number": "904-504-2100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1051274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alana Watley
• Dawn Elise Watley
• Kathleen Ann Watrel, LMHC
• Clarence Watridge, MD
• Peter Donald Watry, RN
• Tai-Isha Watson-Jack, LCSW
• Erika Bryean Watson-Lawson, MSH, RDN, LDN
• Abigail Watson
• Avery Grace Watson
• Bethany Watson, RN

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.