LACEY DUNKLEY FREEMAN I (NPI# 1114421237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114421237 |
| Entity Type | Individual |
| Full Name | LACEY DUNKLEY FREEMAN I |
| Credential | PHARMD |
| Practice Address |
275 Walton Dr Waverly TN 37185-3382 |
| Practice Telephone | 9312969984 |
| Practice Fax Number | 9312961935 |
| Mailing Telephone | 9312969984 |
| Mailing Fax Number | 9312961935 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 41225 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679998785 | Lacey Freeman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834 | 2014-02-26 |
| Street Address |
275 WALTON DR |
| City | WAVERLY |
| State | TN |
| Zip Code | 37185-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073530267 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 275 Walton Dr, Waverly, TN 37185-3382 | 2006-07-16 |
| 1154825669 | Ambra Lynn Wilson | Pharmacist | 275 Walton Dr, Waverly, TN 37185-3382 | 2018-03-20 |
| 1023512589 | Kimberley Oatsvall Townsend | Pharmacist | 275 Walton Dr, Waverly, TN 37185-3382 | 2018-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295567 | Tiffany Szabo | Speech-Language Pathologist | 670 Tn- 13, Waverly, TN 37185 | 2015-09-16 |
| 1407266653 | Wallace Mcclure | General Practice | 450 Powers Blvd., Waverly, TN 37185 | 2014-04-28 |
| 1982995346 | Laurel Lea Barrier | Speech-Language Pathologist | 1171 Lockhart Road, Waverly, TN 37185 | 2011-04-20 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1396921946 | Tammy Jo Saffel | Counselor | 205b East Main Street, Waverly, TN 37185 | 2008-01-14 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1720147119 | Kelley M Blackwell | Marriage & Family Therapist | 795 Holly Ln, Waverly, TN 37185 | 2006-12-08 |
| 1063509578 | Ida Suellen Westerman | Counselor | 205 B East Main Street, Waverly, TN 37185 | 2006-10-06 |
| 1801835962 | Noel R Dominguez | Internal Medicine | 209 West Main Street, Waverly, TN 37185 | 2006-06-05 |
| 1730145822 | Waverly Health Care and Rehabilitation Center Inc | Skilled Nursing Facility | 895 Powers Blvd, Waverly, TN 37185 | 2006-04-26 |
| Find all providers in zip 37185 | ||||
| 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 |
|---|---|---|---|---|
| 1477902245 | Debra Humphrey | Pharmacist | 10311 N 150th St, Waverly, NE 68462-1608 | 2016-06-12 |
| 1629427034 | Thomas Bartley | Pharmacist | 302 E. Emmitt Ave., Waverly, OH 45690 | 2016-06-07 |
| 1831591114 | Joshua Wayne Smith | Pharmacist | 2181 Us Highway 23, Waverly, OH 45690-9554 | 2014-09-18 |
| 1043648991 | Kimberly Hotz | Pharmacist | 212 Oak Wood Cir, Waverly, IA 50677-9254 | 2013-10-30 |
| 1306283734 | Portia W Licht | Pharmacist | 920 Bremer Rd, Waverly, IA 50677-4141 | 2013-05-24 |
| 1952692758 | Stacy Hauck | Pharmacist | 16 Bevens Ln, Waverly, OH 45690 | 2011-04-27 |
| 1184923377 | Bruce Alan Felts | Pharmacist | 501 E Emmitt Ave, Waverly, OH 45690-1206 | 2011-03-28 |
| 1194879106 | Tamra Litterer | Pharmacist | 312 9th St Sw Ste 1000, Waverly, IA 50677-2929 | 2007-01-23 |
| 1851488878 | Patrick Allan Neblett | Pharmacist | 214 Sunset Dr, Waverly, TN 37185-1848 | 2006-10-10 |
| 1558346726 | Mark Marquez | Pharmacist | 100 Dawn Ln, Waverly, OH 45690-9138 | 2005-12-10 |
| Find all providers in WAVERLY | ||||
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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.