DR. JODI LYNN WAUGH


Address: 2730 Highway 155, Locust Grove, GA 30248-2401
Phone: 4048256632

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH-027159 GA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA GA STATE BOARD OF PHARMACY RPH-027159 01

Office Location

Street Address 2730 HIGHWAY 155
City LOCUST GROVE
State GA
Zip Code 30248-2401

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LOCUST GROVE
Zip Code 30248

Improve Information

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Dataset Information

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.

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