Suresh Wattamwar, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

031092 Issued in NY

Practice address

312 Ralph Ave
Brooklyn, NY 11233-3022

Phone

(718) 774-6800

Fax

(718) 774-1776

NPI assigned

Jan 3, 2007

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

Practice roles

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.

• Shri Drug Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1881687069
  NPD (past) Authorized official
• Vijan Pharma Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1386918852
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518024066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 IRVING DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971333",
            "telephone_number": "516-367-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333022",
            "telephone_number": "718-774-6800",
            "fax_number": "718-774-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTAMWAR",
        "first_name": "SURESH",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARM LICENCE",
            "identifier": "031092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lachelle Pamela Watt, LPN
• Marcianna Watt, LPN
• Muriel Nmi Watt
• Sharleen Watt, LPN
• Tenisha Watt
• Robert Glenn Watton, DC
• Wattoo Corporation
• Dawn Watts, CASAC
• Dawn Watts, LPN
• Karen Watts, R.T

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• 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.