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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
8910 | AR | Pharmacy Service Providers |
Street Address |
4300 W 7TH ST SLOT 119 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-5446 |
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 |
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 Code | 1835N1003X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Nutrition Support |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417065772 | Rebecca Ann Cleary | Pharmacist | 4300 W 7th St, 598/119, Little Rock, AR 72205-5446 | 2006-08-28 |
City | LITTLE ROCK |
Zip Code | 72205 |
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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.