Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750802567 Individual Practitioner Female Practitioner

Dr. Marlo Waddle , PharmD

Pharmacist • Sanford, FL

Professional Overview & Biography Verified Profile Summary

Dr. Marlo Waddle, PharmD is a registered healthcare professional specializing in Pharmacist in Sanford, FL. Practice services are available at 4930 E LAKE MARY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4930 E Lake Mary Blvd

Sanford, FL 327715003

Telephone 4076088701
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Sanford, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Sanford, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL 56399

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Chivas Owle

Pharmacist

NPI 1043994445
Dr. William Vivas , DPM

Podiatrist - Foot Surgery

NPI 1053467993

Doctor of Podiatric Medicine

Simone Harris , APRN

Nurse Practitioner - Family

NPI 1073378295

Advanced Practice Registered Nurse

Dr. Daniel Bieda , DO

Family Medicine

NPI 1073518437

Doctor of Osteopathic Medicine (D.O.)

Kimcheree Jackson

Nurse Practitioner

NPI 1083093355
Lauren Barnhart , APRN

Nurse Practitioner - Pediatrics

NPI 1093024150

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 08, 2024

Registered at 4930 E LAKE MARY BLVD, SANFORD, FL 327715003 (Tel: 4076088701)

📍
Updated Practice Location November 01, 2019

Registered at 1205 S WOODLAND BLVD STE 5, DELAND, FL 327207464 (Tel: 3868884912)

📍
Updated Business Mailing Address November 01, 2019

Registered at 170 FLAMINGO RD, EDGEWATER, FL 321417206 (Tel: 3868520093)

👤
Provider Name / Credentials Updated November 01, 2019

Recorded as MARLO WADDLE, PHARMD

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2017

Registered at 619 S MARION AVE, LAKE CITY, FL 320255808 (Tel: 3867553016)

📍
Updated Business Mailing Address June 30, 2017

Registered at 5017 HAWKSTONE DR, SANFORD, FL 327715413 (Tel: 3868520093)

👤
Provider Name / Credentials Updated June 30, 2017

Recorded as MARLO PAGANO, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Pharmacist (License #56399 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750802567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2017
Last Update: August 08, 2024
Sole Proprietor: No

Mailing Address

170 Flamingo Rd

Edgewater, FL 321417206

Phone: 3868520093

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.