Active NPI
Nicholas Bradford Watts, PHARMD
- Pharmacist
- Walnut Cove, NC
National Provider Identifier
1659785087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24133
- Practice address
- 317 N Main St
Walnut Cove, NC 27052-9200 - Phone
- (336) 591-7171
- Fax
- (336) 591-7936
- NPI assigned
- Jun 13, 2014
- Last updated
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 24133 | NC | Primary |
Addresses
Primary practice location
317 N Main St
Walnut Cove, NC 27052-9200
Mailing address
PO Box 537
317 North Main Street
Walnut Cove, NC 27052-0537
Phone (336) 591-7171
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 |
|---|---|---|---|
| 24133 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walnut Cove Pharmacy Inc | Current | Accepting new patients | |
| Walnut Cove Pharmacy, Inc | Pharmacist | Current | Accepting new patients |
Locations
317 N Main St
Walnut Cove, NC 27052
Phone (336) 591-3300
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.
-
- Pharmacist
- Walnut Cove, NC
- NPI 1861944563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1659785087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 537",
"address_2": "317 NORTH MAIN STREET",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "270520537",
"telephone_number": "336-591-7171",
"fax_number": "336-591-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N MAIN ST",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "270529200",
"telephone_number": "336-591-7171",
"fax_number": "336-591-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "NICHOLAS",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Cove, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.