NPI 1104161561 DR. JAMIE GLENN WALLER PHARM.D BASSETT VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Jamie Glenn Waller - NPI: 1104161561

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. JAMIE GLENN WALLER
NPI Number: 1104161561
Entity Type Code: Individual (1)
Gender: M
Credentials: PHARM.D
License Number: 0202211827
Business Practice Address: 12130 Jefferson Ave
Newport News, VA - 236026908
Business Phone Number: 7578819371
Business Fax Number:
Mailing Address: 510 Elf Trail,
BASSETT
State: VA
Postal Code: 24055
Phone Number: 8049216303
Fax Number:
NPI Enumeration Date: 12/11/2012
NPI Last Update Date: 12/11/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 183500000X
License Number: 0202211827
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Pharmacy Service Providers
Taxonomy Classification: Pharmacist
Taxonomy Specialization:
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.


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