Active NPI
Nicolle Ashley Waetjen, PHARM.D.
- Pharmacist
- Delray Beach, FL
National Provider Identifier
1992247480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53842
- Practice address
- 4882 N Citation Dr Apt 105
Delray Beach, FL 33445-6554 - Phone
- (954) 422-3044
- NPI assigned
- Nov 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS53842 | FL | Primary |
Addresses
Primary practice location
4882 N Citation Dr Apt 105
Delray Beach, FL 33445-6554
Mailing address
4882 N Citation Dr Apt 105
Delray Beach, FL 33445-6554
Phone (954) 422-3044
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS53842 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1992247480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4882 N CITATION DR APT 105",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334456554",
"telephone_number": "954-422-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4882 N CITATION DR APT 105",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334456554",
"telephone_number": "954-422-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAETJEN",
"first_name": "NICOLLE",
"middle_name": "ASHLEY",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
- Janey Vogel
- Natalie Nicole Voorn, DO
- Alexa Vrionis, LCSW
- W. Atlantic Discount Pharmacy LLC
- W. Atlantic Discount Pharmacy LLC (West Atlantic Pharmacy)
- Robert Wagner, AA
- Beshoi Wahba
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1589)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2406)
- Wal-Mart Stores East, LP (Vision Center 30-1589)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.