Liletta Troy Washington, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

21800 Issued in GA

Practice address

2815 N Ashley St
Valdosta, GA 31602-1806

Phone

(229) 253-9069

Fax

(229) 253-9621

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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
  • Valdosta, GA
  • NPI 1205841418
  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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1619251956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021806",
            "telephone_number": "229-253-9069",
            "fax_number": "229-253-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021806",
            "telephone_number": "229-253-9069",
            "fax_number": "229-253-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "LILETTA",
        "middle_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "21800",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "30551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Ward, LPC
• Anastasia C Warner
• Courtney D. Warren, NP-C
• James Wesley Warren Jr., D.O.
• Bruchell Denise Washington
• Wayne Washington
• David Thomas Wasieleski, PH.D.
• Waterfall Emergency Physicians, LLC
• Daren Waters Sr., EDD, MDIV, MS, LMFT
• Kayla A Waters, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.