DR. JUSTIN WATERSON (NPI# 1790396125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790396125 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WATERSON |
| Credential | PHARMD |
| Practice Address |
431 Fort St Buffalo WY 82834-1805 |
| Practice Telephone | 3076847003 |
| Practice Fax Number | 3076847348 |
| Mailing Telephone | 3076847003 |
| Mailing Fax Number | 3076847348 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4246 | WY | Pharmacy Service Providers |
| Street Address |
431 FORT ST |
| City | BUFFALO |
| State | WY |
| Zip Code | 82834-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003995788 | Buffalo Prescription Shop, Inc | Pharmacy | 431 Fort St, Buffalo, WY 82834-1805 | 2006-11-03 |
| 1336786185 | Eileen Marie Phillips | Pharmacist | 431 Fort St, Buffalo, WY 82834-1805 | 2019-11-27 |
| 1639651417 | Tom Maertens | Pharmacist | 431 Fort St, Buffalo, WY 82834-1805 | 2018-08-29 |
| 1871003483 | Chadwick Bardwell Sommers | Pharmacist | 431 Fort St, Buffalo, WY 82834-1805 | 2017-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1083881262 | Sandra K Ham | Nurse Practitioner | 107 W Hesse, Buffalo, WY 82834 | 2008-05-15 |
| 1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
| 1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
| 1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
| 1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
| Find all providers in zip 82834 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807486 | Ilana Nicole Cypes | Pharmacist | Carlton St & Elm Street, Buffalo, NY 14263-0001 | 2020-06-29 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1023631967 | William Allan Prescott Jr. | Pharmacist | 218 Pharmacy Building, Buffalo, NY 14260-0001 | 2020-05-27 |
| 1619596558 | Kelly Blum | Pharmacist | 1100 Main St # 120, Buffalo, NY 14209-2308 | 2020-04-10 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1649800749 | Michelle Mayes | Pharmacist | 432 Porter Ave, Buffalo, NY 14201-1218 | 2020-01-17 |
| 1376193508 | Nicholas Michael Smith | Pharmacist | 701 Ellicott Street, Nys Center for Excellence, Buffalo, NY 14203-1101 | 2019-09-19 |
| 1366909558 | Mary Morehart | Pharmacist | 115 S. Hoy Suite A, Buffalo, OK 73834 | 2019-02-25 |
| 1104383546 | Qasim Abdulle | Pharmacist | 1050 Niagara St Ste 110, Buffalo, NY 14213-2007 | 2019-02-21 |
| 1780159293 | Stephanie M Englert | Pharmacist | 701 Seneca St Ste 205, Buffalo, NY 14210-1371 | 2018-10-11 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.