Active NPI
Jessica Watts, PHARMD
- Pharmacist
- San Antonio, TX
National Provider Identifier
1912514449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42535
- Practice address
- 7400 Merton Minter Blvd
San Antonio, TX 78229 - Phone
- (210) 617-5300
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 42535 | SC | Primary |
Addresses
Primary practice location
7400 Merton Minter Blvd
San Antonio, TX 78229
Mailing address
3361 Picket Fence LN
Myrtle Beach, SC 29579-3310
Phone (732) 616-9409
Other practice location 1
2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422
Phone (239) 652-1800 ext. 20303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42535 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1912514449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3361 PICKET FENCE LN",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793310",
"telephone_number": "732-616-9409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-617-5300"
}
],
"practiceLocations": [
{
"address_1": "2489 Diplomat Pkwy E",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339095422",
"country_code": "US",
"telephone_number": "239-652-1800 x20303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.