Richard Watson

Primary specialty

PharmacistTaxonomy code 183500000X

License

18474 Issued in TX

Legal business name

RICHARD WATSON

Doing business as

Ricon Pharmacy

Practice address

104 S. Kent St.
Gorman, TX 76454-0249

Phone

(254) 734-4040

Fax

(254) 734-4041

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By 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

Mr. Richard Wayne Watson, PHARMACIST

Title

Owner

Phone

(254) 734-4040

Specialties & licenses 1

Addresses

Other names 1

• Ricon Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649320300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "GORMAN",
            "state": "TX",
            "postal_code": "764540249",
            "telephone_number": "254-734-4040",
            "fax_number": "254-734-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. KENT ST.",
            "city": "GORMAN",
            "state": "TX",
            "postal_code": "764540249",
            "telephone_number": "254-734-4040",
            "fax_number": "254-734-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WATSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-734-4040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "18474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ricon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mandi Rae Senterfitt-Lowe, MS, CCC/SLP
• Joni West, SLP

• Pharmacist in Gorman, TX
• Providers in Gorman, TX by specialty
• Pharmacist in Texas

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

Verify at the official NPI Registry.