1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Pharmacist
  6. NPI Profile

DR. ANGELA REE WACKOWSKI PHARMD
NPI 1891007068
Pharmacist in Kingsport, TN

Active since July 05, 2010
130 W RAVINE RD STE 101, KINGSPORT, TN 37660(423) 224-6860(423) 224-5657 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Angela Ree Wackowski Pharmd NPPES

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

DR. ANGELA REE WACKOWSKI PHARMD (NPI 1891007068) is an individual pharmacist in Kingsport, Tennessee, licensed in Tennessee (13012) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1891007068
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. ANGELA REE WACKOWSKICredential: PHARMD
Location Address130 W RAVINE RD STE 101Kingsport, TN 37660-3837
Mailing Address130 W Ravine Rd Ste 101Kingsport, TN 37660-3837 · (423) 224-6860 · Fax (423) 224-5657
Phone(423) 224-6860
Fax(423) 224-5657
Sole ProprietorYes
Enumeration DateJuly 5, 2010
Last NPPES UpdateDecember 23, 2022
NPPES CertifiedDecember 23, 2022
✔ NPI 1891007068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in TN · 13012✔ Licensed in CO · 16086
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
130 W RAVINE RD STE 101, Kingsport, TN 37660
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

WALGREEN CO
Pharmacy
130 W RAVINE RD STE 101
KINGSPORT, TN 37660
Sullivan County (423) 224-6860
ELEANOR GILBERT
Pharmacist
130 W RAVINE RD STE 101
KINGSPORT, TN 37660
Sullivan County (423) 224-6860

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 Angela Wackowski's NPI number?

The NPI number for Angela Wackowski is 1891007068. It was assigned to this individual provider in the NPPES registry on July 5, 2010.

Where is Angela Wackowski located?

Angela Wackowski practices at 130 W Ravine Rd Ste 101, Kingsport, TN 37660. The listed phone number is (423) 224-6860.

What is Angela Wackowski's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Angela Wackowski was last updated on December 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.