Jacqueline Dayle Waters, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0018868 Issued in OR

Practice address

2280 N Las Vegas Blvd
North Las Vegas, NV 89030-5803

Phone

(702) 649-1415

NPI assigned

Sep 29, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Dayle Decicco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • North Las Vegas, NV
  • NPI 1629083688
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1144504887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 E HANCOCK ST STE 100",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322145",
            "telephone_number": "971-281-3060",
            "fax_number": "971-281-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 N LAS VEGAS BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305803",
            "telephone_number": "702-649-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JACQUELINE",
        "middle_name": "DAYLE",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0018868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DECICCO",
            "middle_name": "DAYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zasean Washington
• Natalie Rose Wasielewski, PT, DPT
• Ehren Watada, APRN-CNP
• Coryn Watanabe, LMT
• Christine Watcha
• Kimberly Waters
• Synamon Waters
• Mario Watkins-Childs
• America Kirby Watkins
• Rose Watkins

• Pharmacist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.