Active NPI
William Todd Waggoner, RPH
- Pharmacist
- Athens, AL
National Provider Identifier
1760819015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12292
- Practice address
- 104 Highway 31 North
Athens, AL 35611 - Phone
- (256) 233-0181
- NPI assigned
- Oct 2, 2013
- Last updated
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12292 | AL | Primary |
Addresses
Primary practice location
104 Highway 31 North
Athens, AL 35611
Mailing address
238 Brockton Dr
Madison, AL 35756-4048
Phone (256) 653-3463
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12292 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1760819015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 BROCKTON DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357564048",
"telephone_number": "256-653-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HIGHWAY 31 NORTH",
"city": "ATHENS",
"state": "AL",
"postal_code": "35611",
"telephone_number": "256-233-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGONER",
"first_name": "WILLIAM",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
- Vibe Dental of Athens PLLC
- Jean Hilaire Vincent, M.D.
- Katie Ruth Vines, MD
- Waddell Center Family Medicine
- Waddell Center Family Medicine
- Diane Goodman Waits, NP
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0661)
- Wal-Mart Stores East, LP (Vision Center 30-0661)
- Heather D Wales
- Walgreen Co (Walgreens #10981)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.