WANDA LEE CROCKER (NPI# 1568999803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568999803 |
| Entity Type | Individual |
| Full Name | WANDA LEE CROCKER |
| Practice Address |
102 E Edwards St Princeton NC 27569-7279 |
| Mailing Address |
Po Box 5 Princeton NC 27569-0005 |
| Practice Telephone | 9199363151 |
| Practice Fax Number | 9199363015 |
| Mailing Telephone | 9199363151 |
| Mailing Fax Number | 9199363015 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 09587 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043518723 | Wanda Shirl Crocker | Licensed Practical Nurse | 722 Decatur Ct, Cincinnati, OH 45240-3114 | 2011-03-04 |
| Street Address |
102 E EDWARDS ST |
| City | PRINCETON |
| State | NC |
| Zip Code | 27569-7279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932207800 | Woodard Drug Store Inc | Durable Medical Equipment & Medical Supplies | 102 E Edwards St, Princeton, NC 27569-7279 | 2006-09-21 |
| 1003384652 | Woodard Drug Store LLC | Pharmacy | 102 E Edwards St, Princeton, NC 27569-7279 | 2018-11-12 |
| 1821525908 | Woodard Drug Store Inc | Pharmacy | 102 E Edwards St, Princeton, NC 27569-7279 | 2017-05-19 |
| 1114257888 | Tina Shirley Hobbs | Pharmacist | 102 E Edwards St, Princeton, NC 27569-7279 | 2010-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518695 | Rayfield Dave Harper | Technician | 410 W 3rd St Apt #4, Princeton, NC 27569 | 2019-09-20 |
| 1093142242 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 927 School Shepard Road, Zebulon, NC 27569 | 2013-10-02 |
| 1093158404 | Eyestat Optometric Services, P.a. | Optometrist | 720 Pondfield Rd, Princeton, NC 27569 | 2013-04-16 |
| 1407080229 | Valeria Malone Jones | Specialist | 116 S. Center St., Princeton, NC 27569 | 2009-05-07 |
| 1215022322 | Robert L Williamson IIi Dds Pa | Dentist | 104 Center Street, Princeton, NC 27569 | 2006-10-04 |
| 1306859715 | Reyna Lee Faris | Dental Hygienist | 104 Center St, Princeton, NC 27569 | 2006-08-15 |
| 1639112733 | Princeton Rescue Squad | Ambulance | 501 West Us 70 Bus, Princeton, NC 27569 | 2006-06-14 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1346374303 | Joseph Edward Finley Jr. | Speech-Language Pathologist | 105 Bridge Dr, Princeton, NC 27569-7073 | 2007-03-14 |
| 1396707592 | Kira Leith Vurlicer | Family Medicine | 213 Barden St, Princeton, NC 27569-7206 | 2006-04-04 |
| Find all providers in zip 27569 | ||||
| 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 |
|---|---|---|---|---|
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1265082374 | Hyunjee Song | Pharmacist | 10 Scarlet Oak Dr, Princeton, NJ 08540-4610 | 2019-09-19 |
| 1255817565 | Asit Patel | Pharmacist | 18 Renfield Dr, Princeton, NJ 08540-6260 | 2018-07-19 |
| 1518456987 | Adel G. Said | Pharmacist | 16 Red Oak Row, Princeton, NJ 08540-2840 | 2018-05-01 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1861889990 | Melodie Grady | Pharmacist | 1143 Bear Creek Rd, Princeton, ID 83857-9753 | 2015-04-15 |
| 1184028268 | Stephen Gray Crowe | Pharmacist | 1229 Stafford Dr, Princeton, WV 24740-2465 | 2014-10-17 |
| 1174951784 | Venugopal Ghanta Venkata | Pharmacist | 261 Mather Ave, Princeton, NJ 08540-6440 | 2013-10-16 |
| Find all providers in PRINCETON | ||||
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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.