STACY LYNN WALIGURA (NPI# 1639477490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639477490 |
| Entity Type | Individual |
| Full Name | STACY LYNN WALIGURA |
| Credential | PHARMD |
| Practice Address |
1014 Montague Ave Greenwood SC 29649-1450 |
| Practice Telephone | 8642236904 |
| Mailing Telephone | 8642236904 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10504 | SC | Pharmacy Service Providers |
| Street Address |
1014 MONTAGUE AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558376640 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2006-07-29 |
| 1801445044 | Milap R Patel | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2019-09-10 |
| 1972044733 | Shannon Louise Smith | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2017-03-13 |
| 1760867923 | Jessica Gault | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2015-07-29 |
| 1306193552 | Allison M Serdah | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2012-08-07 |
| 1003162207 | Courtney Elizabeth Link | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2012-07-25 |
| 1215216858 | Erica Lynn Bromeling | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2011-08-14 |
| 1427356369 | Shavonda Griffin Gary | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2011-03-02 |
| 1205134202 | Gretchen Aufman | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2011-03-01 |
| 1588961593 | William F Inabinet | Pharmacist | 1014 Montague Ave, Greenwood, SC 29649-1450 | 2011-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| 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 |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1861002644 | Jessica Sutton | Pharmacist | 1302 Highway 72 W, Greenwood, SC 29649-1826 | 2020-08-05 |
| 1467089664 | Diana L Blazek | Pharmacist | 3761 Chancellor Dr, Greenwood, IN 46143-7221 | 2020-03-26 |
| 1861028722 | Kevin Doss | Pharmacist | 655 Us 31, Greenwood, IN 46142-3061 | 2020-03-22 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1285283564 | David Clay Buckalew | Pharmacist | 655 Us 31 S, Greenwood, IN 46142-3061 | 2019-09-09 |
| 1487202719 | Aysha Raza Mozaffar | Pharmacist | 640 S State Road 135, Greenwood, IN 46142-1428 | 2019-08-29 |
| 1790333102 | David William Nimz | Pharmacist | 402 Marketplace Dr, Greenwood, IN 46142-7773 | 2019-08-28 |
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| Find all providers in GREENWOOD | ||||
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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.