NICOLLE ASHLEY WAETJEN (NPI# 1992247480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992247480 |
| Entity Type | Individual |
| Full Name | NICOLLE ASHLEY WAETJEN |
| Credential | PHARM.D. |
| Practice Address |
4882 N Citation Dr Apt 105 Delray Beach FL 33445-6554 |
| Practice Telephone | 9544223044 |
| Mailing Telephone | 9544223044 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS53842 | FL | Pharmacy Service Providers |
| Street Address |
4882 N CITATION DR APT 105 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-6554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| 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 |
|---|---|---|---|---|
| 1851918643 | Wendy Beth Jacobson | Pharmacist | 7495 Atlantic Ave Ste 206, Delray Beach, FL 33446-1393 | 2020-06-29 |
| 1528683158 | Ricardine Pardieu | Pharmacist | 574 Angler Dr, Delray Beach, FL 33445-2425 | 2020-06-09 |
| 1588163836 | Amira F Shaker | Pharmacist | 7495 W Atlantic Ave Ste 206, Delray Beach, FL 33446-1393 | 2018-02-01 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1437554862 | Joan Ann Lanning | Pharmacist | 2200 S Ocean Blvd Apt 404, Delray Beach, FL 33483-6465 | 2014-10-28 |
| 1699184143 | Sayeed Mia I | Pharmacist | 13860 Jog Rd, Delray Beach, FL 33446-5902 | 2014-08-08 |
| 1811313174 | Sandra Awaida | Pharmacist | 4800 Linton Blvd Ste D501, Delray Beach, FL 33445-6593 | 2014-03-11 |
| 1790022648 | Khanh Phuong Nguyen | Pharmacist | 16130 Jog Rd, Delray Beach, FL 33446-2319 | 2013-01-12 |
| 1588949655 | Victoria Rodgers | Pharmacist | 16000 Double Eagle Trl, Delray Beach, FL 33446-9552 | 2011-10-19 |
| 1720361348 | Erica L Schroeder | Pharmacist | 13950 Jog Rd, Delray Beach, FL 33446-5903 | 2011-09-20 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on NICOLLE ASHLEY WAETJEN.
| 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.