Active NPI
Amy Waycaster
- Pharmacist
- Muscle Shoals, AL
National Provider Identifier
1053693077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15925
- Practice address
- 1801 Woodward Ave
Muscle Shoals, AL 35661-2843 - Phone
- (256) 383-0896
- NPI assigned
- Sep 15, 2011
- Last updated
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15925 | AL | Primary |
| Pharmacist | 183500000X | E-010393 | MS |
Addresses
Primary practice location
1801 Woodward Ave
Muscle Shoals, AL 35661-2843
Mailing address
217 Melissa Dr
Muscle Shoals, AL 35661-4752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-010393 | MS | MD | Pharmacist |
| 15925 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1053693077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 MELISSA DR",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356614752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WOODWARD AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612843",
"telephone_number": "256-383-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYCASTER",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15925",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.