Dr Jae Waggoner, PHARMD - Pharmacist in Bossier City, LA

Dr Jae Waggoner, PHARMD is a Pharmacist based in Bossier City, Louisiana. Dr Jae Waggoner is licensed to practice in Louisiana (license number PST.023190) and her current practice location is 2107 Airline Dr, Bossier City, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 742-5590.

NPI number for Dr Jae Waggoner is 1932750411 and her current mailing address is 320 Preserve Blvd, Bossier City, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932750411.

Contact Information

Dr Jae Waggoner, PHARMD
2107 Airline Dr,
Bossier City, LA 71111-3105
(318) 742-5590
Not Available

Healthcare Provider's Profile

Full NameDr Jae Waggoner
GenderFemale
SpecialityPharmacist
Location2107 Airline Dr, Bossier City, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932750411
  • Provider Enumeration Date: 09/25/2019
  • Last Update Date: 04/19/2023

Medical Identifiers

Medical identifiers for Dr Jae Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932750411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PST.023190 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jae Waggoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jae Waggoner, PHARMD
320 Preserve Blvd,
Bossier City, LA 71112-2081

Ph: () -
Dr Jae Waggoner, PHARMD
2107 Airline Dr,
Bossier City, LA 71111-3105

Ph: (318) 742-5590

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› Verified 3 days ago


Pharmacist in Bossier City, LA

Mr. Wayne Dial,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2536 Airline Dr, Bossier City, LA 71111
Phone: 318-422-0182    
Colby Alexas Williams, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2735 Beene Blvd, Bossier City, LA 71111
Phone: 318-678-6801    
Dr. La Tisha P. Bowie, PHARM D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2107 Airline Dr, Bossier City, LA 71111
Phone: 318-742-5590    Fax: 318-742-8457
Dr. Mia Ajekwu Bassaragh, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Airline Dr., Bossier City, LA 71111
Phone: 318-741-6589    
Mr. Kristopher Brent Blaylock, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Benton Rd, Bossier City, LA 71111
Phone: 318-742-3509    Fax: 318-742-7730
Amy Authement, PHARM. D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1870 Airline Dr, Bossier City, LA 71112
Phone: 318-746-8401    Fax: 318-746-8402
Dr. Shawn Michael Manor, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 4918 Barksdale Blvd, Bossier City, LA 71112
Phone: 318-549-2107    

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