Active NPI
Brent Forney Watson, R.PH.
- Pharmacist
- Templeton, CA
National Provider Identifier
1669529137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28264
- Practice address
- 590A S Main St
Templeton, CA 93465-5101 - Phone
- (805) 434-5969
- Fax
- (805) 434-5967
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 8, 2007
- 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 | 28264 | CA | Primary |
Addresses
Primary practice location
590A S Main St
Templeton, CA 93465-5101
Mailing address
1493 Pamela Court
Templeton,, CA 93465
Phone (805) 434-5969
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 |
|---|---|---|---|
| 28264 | CA | MD | Pharmacist |
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, 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": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669529137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1493 PAMELA COURT",
"city": "TEMPLETON,",
"state": "CA",
"postal_code": "93465",
"telephone_number": "805-434-5969",
"fax_number": "805-434-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590A S MAIN ST",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934655101",
"telephone_number": "805-434-5969",
"fax_number": "805-434-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "BRENT",
"middle_name": "FORNEY",
"name_prefix": "Dr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "28264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Templeton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.