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DR. JASON TED WADE PHARMD
NPI 1093336521
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Waycross, GA

Active since May 06, 2020
1606 MEMORIAL DR, WAYCROSS, GA 31501(912) 287-2277(912) 287-0571 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jason Ted Wade Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON TED WADE PHARMD (NPI 1093336521) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Waycross, Georgia, licensed in Georgia (019986) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1093336521
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. JASON TED WADECredential: PHARMD
Location Address1606 MEMORIAL DRWaycross, GA 31501-1949
Mailing Address1606 Memorial DrWaycross, GA 31501-1949 · (912) 287-2277 · Fax (912) 287-0571
Phone(912) 287-2277
Fax(912) 287-0571
Sole ProprietorNo
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1093336521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in GA · 019986
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1606 MEMORIAL DR, Waycross, GA 31501
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW REED
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277
CHARLES CANNON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277
LAURA MARIE WYATT
Pharmacist
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Wade's NPI number?

The NPI number for Jason Wade is 1093336521. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Jason Wade located?

Jason Wade practices at 1606 Memorial Dr, Waycross, GA 31501. The listed phone number is (912) 287-2277.

What is Jason Wade's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jason Wade was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.