Individual provider Active NPI

Ameet Wattamwar, PHARM. D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Woodbury, NY
National Provider Identifier
1710310503
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
057657-1 Issued in NY
Practice address
26 Irving Dr
Woodbury, NY 11797-1333
Phone
(516) 317-5949
NPI assigned
Aug 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH- 2871 HI
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 057657-1 NY Primary

Addresses

Primary practice location

26 Irving Dr
Woodbury, NY 11797-1333

Mailing address

26 Irving Dr
Woodbury, NY 11797-1333
Phone (516) 317-5949

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

LicenseStateTypeSpecialty
PH- 2871HIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
057657-1NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1710310503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 IRVING DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971333",
            "telephone_number": "516-317-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 IRVING DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971333",
            "telephone_number": "516-317-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTAMWAR",
        "first_name": "AMEET",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "HI",
            "license": "PH- 2871",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "057657-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.