WHITNEY DETILLION (NPI# 1528668084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528668084 |
| Entity Type | Individual |
| Full Name | WHITNEY DETILLION |
| Credential | PHARMD |
| Practice Address |
990 W Emmitt Ave Waverly OH 45690-1095 |
| Mailing Address |
278 Virginia Ln Waverly OH 45690-9632 |
| Practice Telephone | 7409470300 |
| Mailing Telephone | 7403578817 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0331197 | OH | Pharmacy Service Providers |
| Street Address |
990 W EMMITT AVE |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104843309 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 990 W Emmitt Ave, Waverly, OH 45690-1095 | 2006-07-16 |
| 1639770795 | Thomas David Kelley | Pharmacist | 990 W Emmitt Ave, Waverly, OH 45690-1095 | 2020-11-05 |
| 1841891256 | Jennifer Elliott | Pharmacist | 990 W Emmitt Ave, Waverly, OH 45690-1095 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| 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 |
|---|---|---|---|---|
| 1477902245 | Debra Humphrey | Pharmacist | 10311 N 150th St, Waverly, NE 68462-1608 | 2016-06-12 |
| 1629427034 | Thomas Bartley | Pharmacist | 302 E. Emmitt Ave., Waverly, OH 45690 | 2016-06-07 |
| 1831591114 | Joshua Wayne Smith | Pharmacist | 2181 Us Highway 23, Waverly, OH 45690-9554 | 2014-09-18 |
| 1043648991 | Kimberly Hotz | Pharmacist | 212 Oak Wood Cir, Waverly, IA 50677-9254 | 2013-10-30 |
| 1306283734 | Portia W Licht | Pharmacist | 920 Bremer Rd, Waverly, IA 50677-4141 | 2013-05-24 |
| 1952692758 | Stacy Hauck | Pharmacist | 16 Bevens Ln, Waverly, OH 45690 | 2011-04-27 |
| 1184923377 | Bruce Alan Felts | Pharmacist | 501 E Emmitt Ave, Waverly, OH 45690-1206 | 2011-03-28 |
| 1194879106 | Tamra Litterer | Pharmacist | 312 9th St Sw Ste 1000, Waverly, IA 50677-2929 | 2007-01-23 |
| 1851488878 | Patrick Allan Neblett | Pharmacist | 214 Sunset Dr, Waverly, TN 37185-1848 | 2006-10-10 |
| 1558346726 | Mark Marquez | Pharmacist | 100 Dawn Ln, Waverly, OH 45690-9138 | 2005-12-10 |
| Find all providers in WAVERLY | ||||
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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.