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WATTS PROFESSIONAL PHARMACY
NPI 1619965357
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Active since October 06, 2005CLIA 05D2201750 · Waiver
9909 COMPTON AVE, LOS ANGELES, CA 90002(323) 564-3218(323) 564-4064 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Watts Professional Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATTS PROFESSIONAL PHARMACY (NPI 1619965357) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Walter Jerome Prevost, Pharmacist Ceo, as its authorized official.

NPPES Registry Identity

NPI1619965357
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePREVOST HEALTHCARE ENTERPRISES INC
Location Address9909 COMPTON AVELos Angeles, CA 90002-2850
Mailing Address16709 Amberwood WayCerritos, CA 90703-1190 · (323) 564-3218 · Fax (323) 564-4064
Phone(323) 564-3218
Fax(323) 564-4064
Organization SubpartNo
Authorized OfficialWalter Jerome PrevostPharmacist Ceo · (323) 564-3218
Enumeration DateOctober 6, 2005
Last NPPES UpdateMarch 10, 2011
✔ NPI 1619965357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY37108
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PHA371080 (CA)
9909 COMPTON AVE, Los Angeles, CA 90002
Open in Google Maps ↗

Other Names 1

Doing Business AsWatts Professional Pharmacy

Other Identifiers 2

Medicare NSC1181150001CA
MedicaidPHA371080CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2201750

Watts Professional Pharmacy · Los Angeles, CA
Active · expires Nov 22, 2026
CLIA Number05D2201750
Laboratory TypePharmacy
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorWalter J. Prevost Pic
Laboratory Phone(323) 564-3218
Laboratory LocationWatts Professional Pharmacy9909 Compton Ave, Los Angeles, CA 90002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 22

Medicare supplier enrollment and the product categories Watts Professional Pharmacy carries, from the Medicare DMEPOS supplier directory.

Watts Professional Pharmacy

DMEPOS supplier · Los Angeles, CAOperated by Prevost Healthcare Enterprises Inc
✔

Accepts Medicare assignment

Watts Professional Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20575319
Medicare Participant SinceJanuary 1, 2006
Supplier Location9909 South Compton AvenueLos Angeles, CA 90002
Phone(323) 564-3218
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WALTER JEROME PREVOST SR. PHARM.D.
Pharmacist
9909 COMPTON AVE
LOS ANGELES, CA 90002
Los Angeles County (323) 564-3218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prevost Healthcare Enterprises Inc's NPI number?

The NPI number for Prevost Healthcare Enterprises Inc is 1619965357. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Watts Professional Pharmacy.

Where is Prevost Healthcare Enterprises Inc located?

Prevost Healthcare Enterprises Inc is located at 9909 Compton Ave, Los Angeles, CA 90002. The listed phone number is (323) 564-3218.

What is Prevost Healthcare Enterprises Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Prevost Healthcare Enterprises Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Watts Professional Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Prevost Healthcare Enterprises Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2201750) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prevost Healthcare Enterprises Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Prevost Healthcare Enterprises Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prevost Healthcare Enterprises Inc was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.