Watsonville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48216 Issued in CA

Legal business name

WATSONVILLE PHARMACY INC

Doing business as

Watsonville Pharmacy

Practice address

1433 Freedom Blvd
Watsonville, CA 95076-2742

Phone

(831) 728-1818

Fax

(831) 728-8678

NPI assigned

Jul 18, 2006

Last updated

Jun 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Lindberg, PHARMDNPI 1801818224

Title

President

Phone

(831) 722-2141

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WATSONVILLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Lindberg, PHARM.D

  • Pharmacist
  • Watsonville, CA
  • NPI 1801818224
  Authorized official Same address or phone

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1518985340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762742",
            "telephone_number": "831-728-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762742",
            "telephone_number": "831-728-1818",
            "fax_number": "831-728-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSONVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-722-2141",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA482160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATSONVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Watsonville Doctors on Duty
• Watsonville Emergency Medical Group
• Watsonville Hospital Corporation (Watsonville Community Hospital)
• Watsonville Medical Clinic and Aesthetic Clinic, Inc
• Watsonville Pharmacy Inc
• Robert Joseph Weber, MD
• Angel Webster
• Alisa Myers Weinberger, RN
• Haley Elise Weiner
• Joel Andrew Weinstein, M.D.

• Community/Retail Pharmacy in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.