Active NPI
Jill Marie Watters, R.PH.
- Pharmacist
- Altoona, PA
National Provider Identifier
1568618486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP038540L
- Practice address
- 2525 9TH Ave Ste 2B
Altoona, PA 16602-2014 - Phone
- (814) 300-2273
- Fax
- (814) 800-1021
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP038540L | PA | Primary |
Addresses
Primary practice location
2525 9TH Ave Ste 2B
Altoona, PA 16602-2014
Mailing address
2525 9TH Ave Ste 2B
Altoona, PA 16602-2014
Phone (814) 300-2273
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP038540L | PA | MD | Pharmacist |
Interoperability endpoints
- jill.watters@686546979127300.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1568618486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 9TH AVE STE 2B",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022014",
"telephone_number": "814-300-2273",
"fax_number": "814-800-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 9TH AVE STE 2B",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022014",
"telephone_number": "814-300-2273",
"fax_number": "814-800-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038540L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.