Jovial Watson, PHARMD
Individual provider Active NPI Pharmacist · Lehigh Acres, FL
NPI 1649549833 · NPPES record last updated Dec 19, 2011
Key facts
- NPI
- 1649549833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS42697 (FL)
- Practice address
- 38 Homestead Rd N
Lehigh Acres, FL 33936-6646 - Phone
- (239) 368-7186
- Fax
- (239) 368-9607
- NPI assigned
- Dec 19, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42697 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42697 | FL | Yes |
Addresses
Primary practice location
38 Homestead Rd N
Lehigh Acres, FL 33936-6646
Mailing address
38 Homestead Rd N
Lehigh Acres, FL 33936-6646
Phone (239) 368-7186
NPI Registry JSON
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1649549833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 HOMESTEAD RD N",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366646",
"telephone_number": "239-368-7186",
"fax_number": "239-368-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 HOMESTEAD RD N",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366646",
"telephone_number": "239-368-7186",
"fax_number": "239-368-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JOVIAL",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-19",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.