Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jamie Glenn Waller, PHARMD

Individual provider Pharmacist · NPI 1104161561

Dr. Jamie Glenn Waller, PHARMD is a Pharmacist in Newport News, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

12130 Jefferson Ave
Newport News, VA 23602-6908
Phone: (757) 881-9371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202211827 (VA)

Record details

NPI number1104161561
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedDecember 11, 2012
Last updated in NPPESDecember 11, 2012

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