Torey Watson, PHARMD
Individual provider Active NPI Pharmacist · Leadington, MO
NPI 1801248562 · NPPES record last updated Mar 14, 2019
Key facts
- NPI
- 1801248562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2016023696 (MO)
- Practice address
- 113 Saint Francois PLZ
Leadington, MO 63601-4454 - Phone
- (573) 431-5040
- NPI assigned
- Jul 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016023696 | MO | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 2016023696 | MO | |
| Pharmacist | 183500000X | 2016023696 | MO | Yes |
Addresses
Primary practice location
113 Saint Francois PLZ
Leadington, MO 63601-4454
Mailing address
113 Saint Francois PLZ
Leadington, MO 63601-4454
Phone (573) 431-5040
Other providers in Leadington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.