WALDRUG LLC (NPI# 1730615766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730615766 |
| Entity Type | Organization |
| Organization Name | WALDRUG LLC |
| Other Organization Name | WALDRUG, LLC |
| Practice Address |
6014 S Military Trl Ste 102 Lake Worth FL 33463-6969 |
| Practice Telephone | 5614448399 |
| Practice Fax Number | 5614298115 |
| Mailing Telephone | 5614448399 |
| Mailing Fax Number | 5614298115 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | JOHN WILLIAMS (OWNER, MANAGING MEMBER, AO,PIC) |
| Authorized Official Telephone | 5614448399 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH31136 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175717 | 01 |
| Other Name | Type Code |
|---|---|
| Waldrug, LLC | Doing Business As Name - Organization |
| Street Address |
6014 S MILITARY TRL STE 102 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33463-6969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
| Find all providers in zip 33463 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920072 | Dr G's Pharmacy, Inc | Pharmacy | 127 N Dixie Highway, Lake Worth, FL 33460 | 2019-09-09 |
| 1033660964 | Apnar Pharmacy & Supermarket Inc. | Pharmacy | 3095 S Military Trl Ste 7, Lake Worth, FL 33463-2108 | 2016-10-14 |
| 1063650208 | Progressive Pharmacy Inc | Pharmacy | 7177 Lake Worth Rd, Lake Worth, FL 33467-2906 | 2009-01-26 |
| 1972749521 | Wal-mart Stores East Lp | Pharmacy | 6177 S Jog Rd, Lake Worth, FL 33467-6580 | 2009-01-05 |
| 1053493296 | Holiday Cvs LLC | Pharmacy | 5900 State Road 7, Lake Worth, FL 33449-5404 | 2006-10-19 |
| 1558465476 | Holiday Cvs LLC | Pharmacy | 7030 Jog Rd, Lake Worth, FL 33467-7607 | 2006-09-12 |
| 1912001876 | Holiday Cvs LLC | Pharmacy | 101 N Dixie Hwy, Lake Worth, FL 33460-3359 | 2006-09-12 |
| 1346344231 | Holiday Cvs LLC | Pharmacy | 4511 Lantana Rd, Lake Worth, FL 33463-6907 | 2006-09-12 |
| 1790889673 | Holiday Cvs LLC | Pharmacy | 8954 Lantana Rd, Lake Worth, FL 33467-6112 | 2006-09-12 |
| 1457455339 | Holiday Cvs LLC | Pharmacy | 7534 Lake Worth Rd, Lake Worth, FL 33467-2533 | 2006-09-12 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33463 |
Please comment or provide details below to improve the information on WALDRUG LLC.
| 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.