Active NPI
Emerson S Metzler, RPH
- Pharmacist
- Watertown, NY
National Provider Identifier
1891973749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043863
- Practice address
- 128 W Main St
Bolton's Pharmacy
Watertown, NY 13601-1989 - Phone
- (315) 782-5961
- NPI assigned
- Feb 2, 2008
- Last updated
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043863 | NY | Primary |
Addresses
Primary practice location
128 W Main St
Bolton's Pharmacy
Watertown, NY 13601-1989
Mailing address
7448 State Route 12
Lowville, NY 13367-2815
Phone (315) 376-0333
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
| License | State | Type | Specialty |
|---|---|---|---|
| 043863 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boltons Pharmacy Inc | Past | Accepting new patients | |
| Boltons Pharmacy Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1891973749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7448 STATE ROUTE 12",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133672815",
"telephone_number": "315-376-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W MAIN ST",
"address_2": "BOLTON'S PHARMACY",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136011989",
"telephone_number": "315-782-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZLER",
"first_name": "EMERSON",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-02",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
- Mercy Hospital of Watertown United States Catholic Conference (Genesis Healthcare of New York)
- Mercy of Northern New York
- Rebecca Mae Merwin
- Amy A Messina
- Neil Robert Metevia Jr., MS
- Milestones Children's Center
- Milestones Pediatrictherapy ,PLLC
- Nathanial R Miletta, M.D.
- Kathy Moore Millard, RN
- Angela Joy Miller, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.