Mark Wesley Watenpaugh Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9580 Issued in CO

Practice address

236 West Colorado Ave
Telluride, CO 81435-0702

Phone

(970) 728-3601

Fax

(970) 728-1366

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508880899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702",
            "address_2": "236 WEST COLORADO AVE",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814350702",
            "telephone_number": "970-728-3601",
            "fax_number": "970-728-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 WEST COLORADO AVE",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814350702",
            "telephone_number": "970-728-3601",
            "fax_number": "970-728-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATENPAUGH",
        "first_name": "MARK",
        "middle_name": "WESLEY",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "9580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03840295",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Telluride, CO
• Providers in Telluride, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.