Individual provider Active NPI

John William Watson, RPH

  • Pharmacist
  • Whiteville, NC
National Provider Identifier
1679165179
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9766 Issued in NC
Practice address
712 Tram Rd
Whiteville, NC 28472-3520
Phone
(910) 642-0388
Fax
(800) 304-6736
NPI assigned
Feb 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9766 NC Primary

Addresses

Primary practice location

712 Tram Rd
Whiteville, NC 28472-3520

Mailing address

204 Anderson St
Tabor City, NC 28463-2531
Phone (910) 840-2955

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

LicenseStateTypeSpecialty
9766NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ja McNeill & Sons & Daughter II LLC Current Accepting new patients
J a McNeill & Sons & Daughters LLC CurrentSince Mar 16, 2021 Accepting new patients
Ja McNeill & Sons & Daughter LLC PastSince Feb 7, 2021 Accepting new patients

Locations

712 Tram Rd
Whiteville, NC 28472
Phone (910) 642-0388

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1679165179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ANDERSON ST",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284632531",
            "telephone_number": "910-840-2955",
            "fax_number": "800-304-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 TRAM RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723520",
            "telephone_number": "910-642-0388",
            "fax_number": "800-304-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.