Jae Waggoner, PHARMD
NPI 1932750411ActiveIndividual· Pharmacist· Bossier City, LA
Pharmacist (PHARMD) in Bossier City, Louisiana, licensed in LA, with an NPI issued in September 2019. Part D covered 57 prescriptions written in 2024, 0% of them generic.
Overview
| NPI | 1932750411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | No |
| NPI issued | Sep 25, 2019 |
| Last updated in NPPES | Apr 19, 2023 |
| Certified by provider | Apr 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PST.023190 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 57 · 57 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $12,911 |
| Generic share | 0% of claims |
Other pharmacists in Bossier City
- 1013334614
- 1073947784
- 1164737565
- 1174049142
- 1225766876
- 1245900968
- 1306197017
- 1326310137
- 1356646780
- 1386313112
- 1447677232
- 1497040372
All 96 pharmacists in Bossier City · All pharmacists in Louisiana