Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215532825 Individual Practitioner Female Practitioner

Jordan Watterson

Pharmacist • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Jordan Watterson is a registered healthcare professional specializing in Pharmacist in Saint Augustine, FL. Practice services are available at 2703 N PONCE DE LEON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2703 N Ponce De Leon Blvd

Saint Augustine, FL 320842603

Telephone 9048242838
Associated Practice Facility / Clinic
🏢 Holiday Cvs Llc Facility NPI 1265536163

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
45 Specialists

Practicing in Saint Augustine, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS59424

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1033713987

Doctor of Pharmacy (Pharm.D.)

Candace Madick , FNP

Nurse Practitioner - Family

NPI 1558651117

Family Nurse Practitioner

Gwendolyn Spong , APRN

Nurse Practitioner - Family

NPI 1568954576

Advanced Practice Registered Nurse

Clarrissa Bolin

Pharmacy Technician

NPI 1578498457
Ebony Harris

Pharmacy Technician

NPI 1902736507

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2020

Registered at 2703 N PONCE DE LEON BLVD, SAINT AUGUSTINE, FL 320842603 (Tel: 9048242838)

📍
Updated Business Mailing Address December 01, 2020

Registered at 2703 N PONCE DE LEON BLVD, SAINT AUGUSTINE, FL 320842603

👤
Provider Name / Credentials Updated December 01, 2020

Recorded as JORDAN WATTERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Pharmacist (License #PS59424 in FL)

🟢
Initial NPI Registration & Enumeration December 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215532825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2020
Last Update: December 01, 2020
Sole Proprietor: No

Mailing Address

2703 N Ponce De Leon Blvd

Saint Augustine, FL 320842603

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.