Watters Bros Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412829L Issued in PA

Legal business name

WATTERS BROS DRUG STORE INC

Practice address

4105 Crawford Ave
Northern Cambria, PA 15714-1341

Phone

(814) 948-6720

Fax

(814) 948-4933

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert H Kerr Sr., RPH

Title

Co Owner

Phone

(814) 948-6720

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin A Kerr, RPH

  • Pharmacist
  • Northern Cambria, PA
  • NPI 1922218882
  NPD (past)
• Robret H Kerr

  • Pharmacist
  • Northern Cambria, PA
  • NPI 1649313396
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1881670388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 CRAWFORD AVE",
            "address_2": "PO BOX 1067",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141341",
            "telephone_number": "814-948-6720",
            "fax_number": "814-948-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 CRAWFORD AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141341",
            "telephone_number": "814-948-6720",
            "fax_number": "814-948-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTERS BROS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "814-948-6720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412829L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412829L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005678670002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE",
            "identifier": "0390963",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASP",
            "identifier": "3909631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John M Vasil, DO
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• Molly Weiss
• Nathan Joseph Zachesky, PT, DPT
• Zalivia LLC (X-Cel Physical Therapy)
• Jessica Rita Zatorsky, M.S.

• Community/Retail Pharmacy in Northern Cambria, PA
• Providers in Northern Cambria, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

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