Individual provider Active NPI

Leslie Ann Watwood

  • Pharmacist
  • Oneonta, AL
National Provider Identifier
1861912404
Registry record updated Jun 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15375 Issued in AL
Practice address
2453 2ND Ave E
Oneonta, AL 35121-2791
Phone
(205) 625-3643
NPI assigned
Jun 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15375 AL Primary

Addresses

Primary practice location

2453 2ND Ave E
Oneonta, AL 35121-2791

Mailing address

310 Walls Rd
Remlap, AL 35133-5344

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

State licenses

LicenseStateTypeSpecialty
15375ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498348800000",
    "number": "1861912404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WALLS RD",
            "city": "REMLAP",
            "state": "AL",
            "postal_code": "351335344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 2ND AVE E",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212791",
            "telephone_number": "205-625-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATWOOD",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-25",
        "last_updated": "2017-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.