DR. DEBBIE LYNN WAGGONER


Address: 4300 W 7th St, Slot 119, Little Rock, AR 72205-5446
Phone: 5012576330

DR. DEBBIE LYNN WAGGONER (NPI# 1720193063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720193063
Entity Type Individual
Full Name DR. DEBBIE LYNN WAGGONER
Credential PHARMD
Practice Address 4300 W 7th St
Slot 119
Little Rock
AR 72205-5446
Mailing Address 350 Red Oak Airpark
Cabot
AR 72023-8512
Practice Telephone 5012576330
Practice Fax Number 5012576329
Mailing Telephone 5012576330
Mailing Fax Number 5012576329
Enumeration Date 2006-08-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835N1003X Pharmacist
Specialization: Nutrition Support
8910 AR Pharmacy Service Providers

Office Location

Street Address 4300 W 7TH ST
SLOT 119
City LITTLE ROCK
State AR
Zip Code 72205-5446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760475743 Cecil Michael Dupriest Chiropractor 4300 W 7th St, Little Rock, AR 72205-5446 2005-08-25
1992305510 Rhonda S Davidson Registered Nurse 4300 W 7th St, Little Rock, AR 72205-5446 2020-11-01
1508473026 Anne Cetto Pharmacist 4300 W 7th St, Little Rock, AR 72205-5446 2020-09-29
1497361182 Jason Dale Ryburn Licensed Practical Nurse 4300 W 7th St, Little Rock, AR 72205-5446 2020-09-18
1821604521 Neil K Shah Pharmacist 4300 W 7th St, Little Rock, AR 72205-5446 2020-09-17
1053922294 Tacara Nichole Anderson Registered Nurse 4300 W 7th St, Little Rock, AR 72205-5446 2020-08-12
1720697873 Anu Nicole Asonganyi Pharmacist 4300 W 7th St, Little Rock, AR 72205-5446 2020-07-24
1558987578 Rachel Briggler Pharmacist 4300 W 7th St, Little Rock, AR 72205-5446 2020-06-25
1093330086 Sarah Elizabeth Talley Pharmacist 4300 W 7th St, Little Rock, AR 72205-5446 2020-06-15
1740805167 Autumn Elizabeth Stice Pharmacist 4300 W 7th St, Little Rock, AR 72205-5446 2020-06-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
Find all providers in zip 72205

Taxonomy Information

Taxonomy Code 1835N1003X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Nutrition Support

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417065772 Rebecca Ann Cleary Pharmacist 4300 W 7th St, 598/119, Little Rock, AR 72205-5446 2006-08-28

Competitor

Search similar providers

City LITTLE ROCK
Zip Code 72205

Improve Information

Please comment or provide details below to improve the information on DR. DEBBIE LYNN WAGGONER.

Dataset Information

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.

Trending Searches