MRS. JILLIAN GRIZZARD FAJNA (NPI# 1174683619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174683619 |
| Entity Type | Individual |
| Full Name | MRS. JILLIAN GRIZZARD FAJNA |
| Credential | RPH |
| Practice Address |
328 W Main St Waverly Drugs Waverly VA 23890 |
| Mailing Address |
406 Meadow Bank Rd Emporia VA 23847-7507 |
| Practice Telephone | 8048342233 |
| Mailing Telephone | 4346343737 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202011391 | VA | Pharmacy Service Providers |
| Street Address |
328 W MAIN ST WAVERLY DRUGS |
| City | WAVERLY |
| State | VA |
| Zip Code | 23890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302350 | Back Home Pharmacy Inc | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2019-08-23 |
| 1801386339 | Spring Branch Rx LLC | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2018-05-10 |
| 1114096542 | Talmage Thomas Musgrove IIi | Pharmacist | 328 W Main St, Waverly, VA 23890-0596 | 2006-11-07 |
| 1750474938 | Waverly Pharmacy LLC | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2006-10-02 |
| 1972607356 | Alvin Bradley | Pharmacist | 328 W Main St, Waverly, VA 23890 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053538421 | Horizon Health Services Inc | Clinic/Center | 344 West Main Street, Waverly, VA 23890 | 2007-04-19 |
| 1750312591 | Regina Francine Smith | Social Worker | 232 Coppahaunk Ave, Waverly, VA 23890 | 2006-07-06 |
| 1487961447 | Waverly Rescue Squad, Inc | Ambulance | 115 Bank Street, Waverly, VA 23890 | 2010-09-10 |
| 1407089592 | Waverly Volunteer Rescue Squad | Ambulance | 115 Bank St, Waverly, VA 23890 | 2009-08-24 |
| 1013407659 | Full Focus Training Center LLC | Community/Behavioral Health | 744 West Main Street, Waverly, VA 23890-0213 | 2018-05-17 |
| 1053390906 | George Coleman | Family Medicine | 344 W Main St, Waverly, VA 23890-3235 | 2006-01-10 |
| 1518019009 | Kimberly Kay Jones | Counselor | 344 W Main St, Waverly, VA 23890-3235 | 2007-01-17 |
| 1871606590 | Medical Facilities of America L | Skilled Nursing Facility | 456 East Main Street, Waverly, VA 23890-3237 | 2006-08-16 |
| 1689209488 | Waverly Va Opco LLC | Respite Care | 456 E Main St, Waverly, VA 23890-3237 | 2020-03-12 |
| 1598285702 | New Beginning Inc | Private Vehicle | 429 W Main St, Waverly, VA 23890-3242 | 2017-06-20 |
| Find all providers in zip 23890 | ||||
| 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.