DR. WANDA MICHELE WHITE (NPI# 1548519465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548519465 |
| Entity Type | Individual |
| Full Name | DR. WANDA MICHELE WHITE |
| Credential | PHARM.D. |
| Practice Address |
1109 W Shore Dr Riverdale GA 30296-3367 |
| Practice Telephone | 7709071341 |
| Mailing Telephone | 7709071341 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 015843 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295228005 | Wanda Fay White | Nurse Practitioner | 586 Rutledge Pike, Blaine, TN 37709-2314 | 2018-06-07 |
| 1033304407 | Wanda White | Counselor | 530 Hornady Dr, Monroeville, AL 36460-8658 | 2007-09-10 |
| 1588262786 | Wanda White | Home Health Aide | 1307 Williamstown Pike, Williamstown, WV 26187-8168 | 2020-10-12 |
| 1063991966 | Wanda White | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2018-08-10 |
| 1750629945 | Wanda T White | Counselor | 2470 Saint Rose Pkwy Ste 201, Henderson, NV 89074-7774 | 2013-01-22 |
| 1982838033 | Wanda F White | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2009-05-05 |
| 1861642183 | Wanda S White | Social Worker | 2500 E Foothill Blvd, Pasadena, CA 91107-3464 | 2008-09-23 |
| 1205964228 | Wanda B White | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-03-01 |
| 1033173661 | Wanda White | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2006-04-12 |
| 1891770145 | Wanda F. White | Anesthesiologist Assistant | 827 Linden Ave, Baltimore, MD 21201-4606 | 2005-12-09 |
| Street Address |
1109 W SHORE DR |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| 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 |
|---|---|---|---|---|
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1437663358 | Ayn R Phillips-piquant | Pharmacist | 6829 Collier Rd, Riverdale, GA 30296-2617 | 2017-11-30 |
| 1710431259 | Verna Brock | Pharmacist | 6324 Patterson St, Riverdale, MD 20737-2539 | 2016-08-13 |
| 1043676265 | Ihuoma Brooks | Pharmacist | 8178 Valley Blf, Riverdale, GA 30274-4373 | 2016-01-04 |
| 1790152569 | Deon Terrel Oliver Jr. | Pharmacist | 140 Little Joe Ct, Riverdale, GA 30274-3100 | 2015-08-28 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1083050181 | Edith Uche Livinus | Pharmacist | 773 Highway 138 Sw, Suite 13, Riverdale, GA 30296-1599 | 2013-05-15 |
| 1881933513 | Christophe Laguerre | Pharmacist | 1596 Adrian Dr, Riverdale, GA 30296-2002 | 2013-01-31 |
| 1477814457 | Bezawit Seyoum Ayenachew | Pharmacist | 6130 Baltimore Ave, Riverdale, MD 20737-1905 | 2012-06-06 |
| Find all providers in RIVERDALE | ||||
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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.