ERIC MICHAEL WAGNER (NPI# 1043563323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043563323 |
Entity Type | Individual |
Full Name | ERIC MICHAEL WAGNER |
Credential | PHARM.D. |
Practice Address |
110 Southside Blvd Dillon MT 59725-3536 |
Mailing Address |
202 Fern Ln Dillon MT 59725-8201 |
Practice Telephone | 4069887121 |
Mailing Telephone | 4066907748 |
Enumeration Date | 2012-10-23 |
Last Update Date | 2014-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 15331 | MT | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316474083 | Eric Jameson Wagner | Student in an Organized Health Care Education/Training Program | 1331 Moursund Ave., Bldg. G Rm 115-118, Houston, TX 77030-5389 | 2017-05-12 |
1619263241 | Eric R Wagner | Orthopaedic Surgery | 59 Executive Park S Ste 2000, Atlanta, GA 30329-2208 | 2011-06-22 |
1326009143 | Eric John Wagner | Dentist | 112 2nd Ave Nw, Hampton, IA 50441-1724 | 2006-03-31 |
1083222905 | Eric Wagner | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-16 |
1306312012 | Eric Wagner | Behavior Technician | 2818 N Ralph Ave, Tucson, AZ 85712-1635 | 2018-10-19 |
1306358445 | Eric David Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-30 |
1487043196 | Eric Wagner | Licensed Practical Nurse | 526 W Main St, Sparta, WI 54656-2146 | 2015-01-19 |
1528319365 | Eric Bruce Wagner | Pharmacist | 330 Lebby St, Pelzer, SC 29669-1758 | 2012-09-19 |
1770856106 | Eric Martin Wagner | Physician Assistant | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2012-02-15 |
1477875078 | Eric N Wagner | Hearing Instrument Specialist | 218 W Market St, Ste7, Charlottesville, VA 22902-5061 | 2010-02-23 |
Street Address |
110 SOUTHSIDE BLVD |
City | DILLON |
State | MT |
Zip Code | 59725-3536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073853941 | Vans Iga of Dillon Inc | Pharmacy | 110 Southside Blvd, Dillon, MT 59725-3536 | 2013-02-28 |
1285034306 | Bonnie Rose Rebish | Pharmacist | 110 Southside Blvd, Dillon, MT 59725-3536 | 2014-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659998508 | Sarah Riebel | Physical Therapy Assistant | 30 State Highway 91, Dillon, MT 59725 | 2020-06-26 |
1508397761 | Tawni Harper | Occupational Therapist | 600 State Hwy 91 South, Dillon, MT 59725 | 2017-03-21 |
1437532173 | Meghan Combs | Internal Medicine | 600 Mt Hwy 91 S., Dillon, MT 59725 | 2015-06-30 |
1962830232 | John B Mccollum | Dentist | 110 S. Idaho Street, Dillon, MT 59725 | 2013-10-24 |
1578817789 | Krista Maness | Counselor | 610 N Montana St Ste 10, Dillon, MT 59725 | 2012-11-09 |
1891079224 | Montana Migrant and Seasonal Farmworker Council, Inc. | Clinic/Center | 116 N Washington St, Dillon, MT 59725 | 2011-10-04 |
1407145527 | Latresha G. Garrison | Counselor | 23 S. Idaho #2, Dillon, MT 59725 | 2011-03-29 |
1457657009 | The Legacy Assisted Living LLC | Assisted Living Facility | 1000 Hwy 91 South, Dillon, MT 59725 | 2011-01-31 |
1548495518 | Jamie L Koett | Hospitalist | 600 Hwy 91 South, Dillon, MT 59725 | 2009-05-20 |
1164666889 | Justin Howard Rhodes | Student in an Organized Health Care Education/Training Program | 327 E. Helena St, Dillon, MT 59725 | 2009-04-24 |
Find all providers in zip 59725 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
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. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558886986 | Ursula Fiala | Pharmacist | 300 Us Hwy 6, Dillon, CO 80435-1548 | 2017-08-07 |
1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
1861899544 | Kristen Oakley | Pharmacist | City Market Pharmacy, 300 U.S. 6, Dillon, CO 80435 | 2014-11-25 |
1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
1396161477 | Cynthia D Williams | Pharmacist | 805 Enterprise Rd, Wal-mart Pharmacy, Dillon, SC 29536-7821 | 2014-03-12 |
1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
1174807176 | Jason Briscoe Lowry Jr. | Pharmacist | 611 Hwy 301 N, Dillon, SC 29536-2636 | 2011-10-10 |
1962797852 | Shrina Amin | Pharmacist | 611 Highway 301 N, Dillon, SC 29536-2446 | 2011-06-18 |
1497930341 | Jody I Bowman | Pharmacist | 330 Rodeo Trl, Dillon, MT 59725-8599 | 2008-01-09 |
1952944811 | Charles Lee Adams | Pharmacist | 570 N Montana St, Dillon, MT 59725-3315 | 2019-10-23 |
Find all providers in DILLON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.