Active NPI
Malissa Field Watson, PHARM.D.
- Pharmacist
- Crystal River, FL
National Provider Identifier
1639778335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43903
- Practice address
- 327 NE US Highway 19
Crystal River, FL 34429-4234 - Phone
- (352) 795-7262
- NPI assigned
- Oct 22, 2020
- Last updated
- Oct 22, 2020
- 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 | PS43903 | FL | Primary |
Addresses
Primary practice location
327 NE US Highway 19
Crystal River, FL 34429-4234
Mailing address
327 NE US Highway 19
Crystal River, FL 34429-4234
Phone (352) 795-7262
Other names 1
- Dr. Malissa Field
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43903 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1639778335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 NE US HIGHWAY 19",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294234",
"telephone_number": "352-795-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 NE US HIGHWAY 19",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294234",
"telephone_number": "352-795-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELD WATSON",
"first_name": "MALISSA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALISSA",
"last_name": "FIELD",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.