Waycross Family Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH025326 Issued in GA

Legal business name

WAYCROSS FAMILY PHARMACY

Practice address

1303 Tebeau St
Waycross, GA 31501-5318

Phone

(912) 548-0511

Fax

(912) 548-0516

NPI assigned

Jun 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Yolanda L Rivers, PHARMDNPI 1831369545

Title

Pharmacist

Phone

(912) 548-0511

Specialties & licenses 1

Addresses

Other names 1

• Rivers and Associates LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yolanda L Rivers, PHARMD

  • Pharmacist
  • Waycross, GA
  • NPI 1831369545
  NPD Authorized official
• Tracy Nicole Daise, PHARM.D.

  • Pharmacist
  • Orange Park, FL
  • NPI 1205386141
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1194010611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015318",
            "telephone_number": "912-548-0511",
            "fax_number": "912-548-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015318",
            "telephone_number": "912-548-0511",
            "fax_number": "912-548-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYCROSS FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "912-548-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivers and Associates LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Waters, FNP-C
• Richard Watson, PHARMD
• Stephanie Hickman Watson, PHARMD
• Waycross Dialysis Facility, Inc
• Waycross Dialysis LLC
• Waycross Family Practice
• Waycross Orthopaedics, P.C.
• Waycross Urology Clinic PC
• Kelly Beth Weber, M.ED., CCC-SLP
• Antwonette Miriam Weston

• Pharmacist in Waycross, GA
• Providers in Waycross, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.