MS. LENORA A. WADDELL (NPI# 1407142821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407142821 |
| Entity Type | Individual |
| Full Name | MS. LENORA A. WADDELL |
| Practice Address |
1490 County Road 220 T-1497 Fleming Island FL 32003 |
| Practice Telephone | 9042789438 |
| Practice Fax Number | 9042789438 |
| Mailing Telephone | 9042789438 |
| Mailing Fax Number | 9042789438 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS28701 | FL | Pharmacy Service Providers |
| Street Address |
1490 COUNTY ROAD 220 T-1497 |
| City | FLEMING ISLAND |
| State | FL |
| Zip Code | 32003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467474015 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1490 County Road 220, Fleming Island, FL 32003-7927 | 2006-07-24 |
| 1194169854 | Robyn Ashleigh Bridges | Pharmacist | 1490 County Road 220, Fleming Island, FL 32003-7927 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1649833310 | Amy E Tedeschi | Pharmacist | 3550 Westover Rd, Fleming Island, FL 32003-7104 | 2019-04-18 |
| 1508303512 | Glorimar Roman Hutchinson | Pharmacist | 1530b Vineland Cir, Fleming Island, FL 32003-3398 | 2017-01-27 |
| 1336486406 | Victoria De Leon | Pharmacist | 865 Hibernia Rd Ste 200, Publix Pharmacy #1210, Fleming Island, FL 32003-8707 | 2013-01-09 |
| 1699056358 | Ravi Kiran Bodavula | Pharmacist | 6945 Highway 17, Fleming Island, FL 32003-9316 | 2011-09-07 |
| 1356484372 | Robert Brian Lucas Sr. | Pharmacist | 865 Hibernia Rd, Suite 200, Fleming Island, FL 32003-8707 | 2007-02-15 |
| 1073114534 | Andrew Dimitri Bersu | Pharmacist | 1505 County Road 220, Fleming Island, FL 32003-7926 | 2020-11-02 |
| 1649870270 | Margaret M Marangi | Pharmacist | 1505 County Road 220, Fleming Island, FL 32003-7926 | 2020-11-01 |
| 1902397813 | Carrie Bohannon | Pharmacist | 1545 County Road 220, Fleming Island, FL 32003-7922 | 2018-05-25 |
| 1548780240 | Brooke L Matsanka | Pharmacist | 1565 County Road 220, Fleming Island, FL 32003-7926 | 2017-06-23 |
| 1760882708 | Allan Leonor | Pharmacist | 865 Hibernia Rd Ste 200, Fleming Island, FL 32003-8707 | 2014-08-27 |
| Find all providers in FLEMING ISLAND | ||||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on MS. LENORA A. WADDELL.
| 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.