MR. WILLIAM G WALDRON (NPI# 1700057742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700057742 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM G WALDRON |
| Practice Address |
601 Riverside Dr Johnson City NY 13790-2544 |
| Mailing Address |
50 Oakridge Dr Windsor NY 13865-2415 |
| Practice Telephone | 6077631869 |
| Mailing Telephone | 6076553244 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 034991 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500633 | William J. Waldron | Registered Nurse | 325 Chestnut St, Suite 210, Philadelphia, PA 19106-2614 | 2005-09-29 |
| 1386640308 | William R Waldron | Optometrist | 1215v George Washington Memorial Hwy, Yorktown, VA 23693 | 2005-06-23 |
| 1396740312 | William John Waldron | Optometrist | 2099 Grand Island Blvd, Ste A, Grand Island, NY 14072-2169 | 2005-06-16 |
| Street Address |
601 RIVERSIDE DR |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110424 | Galen Graham | Internal Medicine | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-08-09 |
| 1366837569 | Professional Home Care | Home Health | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2015-04-03 |
| 1336413517 | Project Hear, Inc | Emergency Response System Companies | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2012-03-06 |
| 1366626434 | Joyce M Smith | Pharmacist | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2007-12-24 |
| 1639292741 | Preeti Jhaveri | Obstetrics & Gynecology | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2007-04-06 |
| 1205873387 | Tamara Burger | Advanced Practice Midwife | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2006-05-31 |
| 1821089517 | Donna Lee Gardner | Nurse Practitioner | 601 Riverside Dr, United Medical Associates PC, Johnson City, NY 13790-2544 | 2005-11-02 |
| 1982699252 | Professional Home Care Inc | Durable Medical Equipment & Medical Supplies | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-09-13 |
| 1841284387 | Edward D Miller | Internal Medicine | 601 Riverside Dr, United Medical Associates PC, Johnson City, NY 13790-2544 | 2005-09-09 |
| 1629078928 | Christopher Demtrak | Pediatrics | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| 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 |
|---|---|---|---|---|
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1639798861 | Eric Lockner | Pharmacist | 1940 S Roan St, Johnson City, TN 37601-7559 | 2020-04-08 |
| 1043766934 | Lindsay Deanne Vance | Pharmacist | 2403 Browns Mill Rd, Apartment 15, Johnson City, TN 37604-1972 | 2016-08-30 |
| 1477946432 | Mark Hodges | Pharmacist | 2120 S Roan St Ste 100, Johnson City, TN 37601-7675 | 2015-03-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1063811479 | Nicolas Christopher Lopez | Pharmacist | 69 Dogwood Dr, Johnson City, TN 37684 | 2014-08-21 |
| 1013345792 | Karen Meyer | Pharmacist | 1906 Waters Edge Dr, Johnson City, TN 37604-8317 | 2013-10-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1982036927 | Brooklyn Nelson | Pharmacist | 1021 W Oakland Ave Ste 301, Johnson City, TN 37604-2192 | 2013-08-01 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on MR. WILLIAM G WALDRON.
| 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.