MR. SAMUEL L WADDELL II (NPI# 1083756019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083756019 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL L WADDELL II |
| Credential | RPH |
| Practice Address |
377 Meade Br Sitka KY 41255-9335 |
| Practice Telephone | 6063696356 |
| Mailing Telephone | 6063696356 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 011108 | KY | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
011108 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194033803 | Samuel Allan Waddell | Physician Assistant | 2701 Us Highway 271 N, Pittsburg, TX 75686-4289 | 2010-09-15 |
| Street Address |
377 MEADE BR |
| City | SITKA |
| State | KY |
| Zip Code | 41255-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801327093 | Sam Waddell Consulting Inc | Pharmacy | 377 Meade Br, Sitka, KY 41255-9335 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215288758 | Sondra S Arms | Speech-Language Pathologist | 3309 Ky Route 201, Sitka, KY 41255-9301 | 2012-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261630 | Maia Stack | Counselor | 222 Tongass Dr Bldg 1206, Sitka, AK 99835-9416 | 2020-10-01 |
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1093330052 | Kathleen Hagan | Student in an Organized Health Care Education/Training Program | 307 Cascade St, Sitka, AK 99835-7140 | 2020-06-15 |
| 1306461942 | Stephanie C Hawney | Counselor | 401 Marine St Apt 2, Sitka, AK 99835-7345 | 2020-06-09 |
| 1285257022 | Dirk T White | Counselor | 117 Granite Creek Rd, Sitka, AK 99835-9578 | 2020-05-27 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1558926774 | Amie Terrebonne | Respiratory Therapist, Registered | 3407 Halibut Point Rd, Sitka, AK 99835-9527 | 2019-05-02 |
| Find all providers in SITKA | ||||
| 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 |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1578916664 | Sam Shell | Pharmacist | 141 Patterson Way, Sitka, AK 99835-9513 | 2016-07-13 |
| 1740494798 | Trish D White | Pharmacist | 106 Lincoln Street, Sitka, AK 99835 | 2007-05-09 |
| 1205979127 | White's Inc | Pharmacist | 106 Lincoln St, Sitka, AK 99835-7540 | 2007-02-14 |
| 1316089220 | Whites Inc | Pharmacist | 705 Halibut Point Rd, Sitka, AK 99835-7306 | 2007-02-14 |
| 1043818297 | Elizabeth Benson Holmgren | Pharmacist | 106 Lincoln St, Sitka, AK 99835-7540 | 2020-10-10 |
| 1851902712 | Elise Shepard | Pharmacist | 705 Halibut Point Rd, Sitka, AK 99835-7354 | 2020-08-13 |
| 1851901763 | Nathan Riley Kraft | Pharmacist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-08-05 |
| 1649760448 | Tiffany Conner | Pharmacist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-05-16 |
| 1225484504 | James Dwight Pierson | Pharmacist | 222 Tongass Dr., Sitka, AK 99835-9416 | 2016-05-05 |
| Find all providers in SITKA | ||||
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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.