DR. JODI LYNN WAUGH (NPI# 1568025260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568025260 |
| Entity Type | Individual |
| Full Name | DR. JODI LYNN WAUGH |
| Credential | PHARMD |
| Practice Address |
2730 Highway 155 Locust Grove GA 30248-2401 |
| Mailing Address |
149 Hunters Chase Mcdonough GA 30253-7440 |
| Practice Telephone | 4048256632 |
| Mailing Telephone | 4048256632 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-027159 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA STATE BOARD OF PHARMACY | RPH-027159 | 01 |
| Street Address |
2730 HIGHWAY 155 |
| City | LOCUST GROVE |
| State | GA |
| Zip Code | 30248-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083700843 | Publix Super Markets Inc | Pharmacy | 2730 Highway 155, Locust Grove, GA 30248-2401 | 2006-10-05 |
| 1982167219 | Alexander King Purvis | Pharmacist | 2730 Highway 155, Locust Grove, GA 30248-2401 | 2019-04-12 |
| 1437606332 | Victoria Ouy | Pharmacist | 2730 Highway 155, Locust Grove, GA 30248-2401 | 2016-09-08 |
| 1710225933 | Amy Bartley Burghardt | Pharmacist | 2730 Highway 155, Locust Grove, GA 30248-2401 | 2013-01-23 |
| 1184961013 | Kristopher Spears | Pharmacist | 2730 Highway 155, Locust Grove, GA 30248-2401 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809779 | Uyen Nguyen | Dentist | 4146 Ga-42, Locust Grove, GA 30248 | 2019-06-10 |
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811552524 | Fresenius Medical Care Locust Grove, LLC | Clinic/Center | 2855 Ga-155 S, Locust Grove, GA 30248 | 2019-05-08 |
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1053974550 | Wish You Well Youth Faith Foundation Inc | Contractor | 147 Laughlin Dr, Locust Grove, GA 30248 | 2019-04-19 |
| 1740776517 | Takle Eye Surgery Center LLC | Clinic/Center | 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 | 2018-07-05 |
| 1508357559 | Justin Robert Crumpton | Behavioral Analyst | 212 Westin Park Dr, Locust Grove, GA 30248 | 2018-05-25 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| Find all providers in zip 30248 | ||||
| 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 |
|---|---|---|---|---|
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| 1801163290 | Gregg Stephen Morrow | Pharmacist | 1364 Spotswood Dr, Locust Grove, VA 22508-2140 | 2011-11-29 |
| 1477570364 | Moyes Pharmacy Inc | Pharmacist | 3798 Highway 42, Locust Grove, GA 30248-3632 | 2006-07-16 |
| 1245234947 | Eugene French Triplett Jr. | Pharmacist | 5479 Germanna Hwy, Locust Grove, VA 22508-2018 | 2005-06-09 |
| 1629679477 | Germaine Patterson | Pharmacist | 4949 Bill Gardner Pkwy, Locust Grove, GA 30248-2910 | 2020-11-06 |
| 1982167219 | Alexander King Purvis | Pharmacist | 2730 Highway 155, Locust Grove, GA 30248-2401 | 2019-04-12 |
| 1003323957 | Andre Clifford Harvey | Pharmacist | 4949 Bill Gardner Pkwy, Locust Grove, GA 30248-2910 | 2018-01-01 |
| 1437606332 | Victoria Ouy | Pharmacist | 2730 Highway 155, Locust Grove, GA 30248-2401 | 2016-09-08 |
| 1124497763 | Mareese Guelig | Pharmacist | 2533 Germanna Hwy, Locust Grove, VA 22508-2130 | 2015-09-24 |
| Find all providers in LOCUST GROVE | ||||
| City | LOCUST GROVE |
| Zip Code | 30248 |
Please comment or provide details below to improve the information on DR. JODI LYNN WAUGH.
| 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.