JOHN ROLAND WATERS (NPI# 1245340041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245340041 |
| Entity Type | Individual |
| Full Name | JOHN ROLAND WATERS |
| Credential | RPH |
| Practice Address |
10 N Beachview Dr Jekyll Island GA 31527-0816 |
| Mailing Address |
624 Old Plantation Rd Jekyll Island GA 31527-0724 |
| Practice Telephone | 9126352246 |
| Practice Fax Number | 9126352100 |
| Mailing Telephone | 9126353188 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9593 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACIST | 9593 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966889 | John Francis Waters | In Home Supportive Care | 2153 Niagara Dr, Lakewood, OH 44107-5434 | 2020-09-11 |
| 1932410115 | John Michael Waters | Dentist | 512 Reed Rd, Anderson, SC 29621-2058 | 2010-06-23 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1992876619 | John Stuart Waters | Dentist | 420 E Church St, Sandwich, IL 60548-2206 | 2006-11-13 |
| 1861017196 | John S Waters | Social Worker | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-06-12 |
| 1639676208 | John Mitchell Waters | Counselor | 7209 Hamilton Acres Cir, Chattanooga, TN 37421-8623 | 2018-04-10 |
| 1710205208 | John Keene Waters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd Ste 540, Plano, TX 75093-5339 | 2010-05-10 |
| 1396874939 | John M Waters | Social Worker | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2007-03-02 |
| 1124120803 | John Waters | Psychiatry & Neurology | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-09-02 |
| 1114985074 | John Thomas Waters Jr. | Physical Therapist | 2804 Audubon Village Dr, Norristown, PA 19403-2262 | 2006-05-02 |
| Street Address |
10 N BEACHVIEW DR |
| City | JEKYLL ISLAND |
| State | GA |
| Zip Code | 31527-0816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397257 | Hamilton Waters, Inc | Pharmacist | 10 N Beachview Dr, Jekyll Island, GA 31527-0816 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353508 | Frances Lee Duncan | Marriage & Family Therapist | 7 Barron Ln, Jekyll Island, GA 31527-0608 | 2005-08-16 |
| 1053364331 | Franklin Davis Duncan | Marriage & Family Therapist | 7 Barron Ln, Jekyll Island, GA 31527-0608 | 2006-05-18 |
| 1013525401 | Cassandra Defeo | Dietitian, Registered | 3 Forest Ave Apt A, Jekyll Island, GA 31527-0786 | 2020-07-21 |
| 1427135540 | Jekyll Island State Park Authority | Ambulance | 200 Stable Rd, Jekyll Island, GA 31527-0844 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525401 | Cassandra Defeo | Dietitian, Registered | 3 Forest Ave Apt A, Jekyll Island, GA 31527-0786 | 2020-07-21 |
| 1427135540 | Jekyll Island State Park Authority | Ambulance | 200 Stable Rd, Jekyll Island, GA 31527-0844 | 2006-11-01 |
| 1558353508 | Frances Lee Duncan | Marriage & Family Therapist | 7 Barron Ln, Jekyll Island, GA 31527-0608 | 2005-08-16 |
| 1053364331 | Franklin Davis Duncan | Marriage & Family Therapist | 7 Barron Ln, Jekyll Island, GA 31527-0608 | 2006-05-18 |
| 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 |
|---|---|---|---|---|
| 1053397257 | Hamilton Waters, Inc | Pharmacist | 10 N Beachview Dr, Jekyll Island, GA 31527-0816 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1861093155 | Mohamed J Bah | Pharmacist | 2965 Olivine Dr, Dacula, GA 30019-7646 | 2020-11-04 |
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | JEKYLL ISLAND |
| Zip Code | 31527 |
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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.