Active NPI
David Watson, R.PH.
- Pharmacist
- Warner Robins, GA
National Provider Identifier
1659806180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15837
- Practice address
- 940 Ga Highway 96 Ste 200
Genoa Pharmacy
Warner Robins, GA 31088-2584 - Phone
- (478) 352-0916
- Fax
- (478) 217-7568
- NPI assigned
- Apr 21, 2017
- Sex
- Male
- 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 | 15837 | GA | Primary |
Addresses
Primary practice location
940 Ga Highway 96 Ste 200
Genoa Pharmacy
Warner Robins, GA 31088-2584
Mailing address
940 Ga Highway 96 Ste 200
Genoa Pharmacy
Warner Robins, GA 31088-2584
Phone (478) 352-0916
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 |
|---|---|---|---|
| 15837 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1659806180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 GA HIGHWAY 96 STE 200",
"address_2": "GENOA PHARMACY",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310882584",
"telephone_number": "478-352-0916",
"fax_number": "478-217-7568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 GA HIGHWAY 96 STE 200",
"address_2": "GENOA PHARMACY",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310882584",
"telephone_number": "478-352-0916",
"fax_number": "478-217-7568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-21",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "15837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.