Mark David Watanabe, PHARMD, PHD
NPI 1104020841ActiveIndividual· Pharmacist, Psychiatric· San Francisco, CA
Pharmacist, Psychiatric (PHARMD, PHD) in San Francisco, California, licensed in CA, OR and CO, with an NPI issued in June 2007. Part D covered 266 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1104020841 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD, PHD |
| Sole proprietor | No |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | May 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Psychiatric Primary | 1835P1300X | 37324 | CA |
| Pharmacist, Psychiatric | 1835P1300X | 7242 | OR |
| Pharmacist, Psychiatric | 1835P1300X | 20773 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 266 · 375 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $3,420 |
| Generic share | 100% of claims |
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