ALAN WAGNER (NPI# 1104372416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104372416 |
| Entity Type | Individual |
| Full Name | ALAN WAGNER |
| Practice Address |
2253 N Richmond Rd Mchenry IL 60051-5401 |
| Practice Telephone | 8155789710 |
| Mailing Telephone | 8155789710 |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2016-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.299656 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719631 | Alan Lewis Wagner | Ophthalmology | 6160 Kempsville Cir Ste 120b, Norfolk, VA 23502-3933 | 2005-11-30 |
| 1811597792 | Alan Wagner | Private Vehicle | 795 S Township Road 113, Tiffin, OH 44883-9791 | 2020-10-29 |
| 1497701684 | Alan S. Wagner | Radiology | 3849 N Perryville Rd, Rockford, IL 61114-8080 | 2006-05-26 |
| 1649248584 | Alan Wagner | Radiology | 33-57 Harrison St, Johnson City, NY 13790 | 2006-03-08 |
| 1164406674 | Alan Marvin Wagner | Obstetrics & Gynecology | 1024 Main St, Woodward, OK 73801-3120 | 2005-11-30 |
| 1881686244 | Alan Duane Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2005-08-22 |
| Street Address |
2253 N RICHMOND RD |
| City | MCHENRY |
| State | IL |
| Zip Code | 60051-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336434976 | Marc Joseph Garavalia | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2011-06-11 |
| 1932512308 | Katherine Senycia | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2014-06-03 |
| 1447662812 | Christy Cosmano | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2014-05-20 |
| 1134539869 | Dileep Koottanal | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2014-05-02 |
| 1417227216 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2012-01-10 |
| 1134140221 | Us Vision Optical Inc | Technician/Technologist | 2253 N Richmond Rd, Mchenry, IL 60050-1401 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199051 | Vernon Dental Care | Dentist | 125 E. Townline Road, Vernon Hills, IL 60051 | 2019-05-16 |
| 1801313143 | Jordan Leigh Reif | Specialist/Technologist | 1409 Eastwood Lane, Mchenry, IL 60051 | 2017-08-28 |
| 1871049502 | Jessica Kitto | Social Worker | 3513 Oakdale Ave, Johnsburg, IL 60051 | 2016-09-01 |
| 1134578727 | Anna Marie Mackey | Social Worker | 2306 Edgewood Lane, Mchenry, IL 60051 | 2016-06-06 |
| 1174970289 | Linda Kalas | Social Worker | 1016 Steuben Rd, Mchenry, IL 60051 | 2016-05-18 |
| 1356719603 | Lakemoor Dental | Dentist | 28956 W. Rt 120, Lakemoor, IL 60051 | 2015-09-03 |
| 1386021335 | Stephanie Anderson | Social Worker | 424 Doe Lane, Lakemoor, IL 60051 | 2015-04-29 |
| 1316336134 | Rogner, P.C. | Speech-Language Pathologist | 4520 N Riverdale Drive, Johnsburg, IL 60051 | 2015-01-16 |
| 1225465305 | Christine M Swanson | Nurse Practitioner | 2704 Pueblo Drive, Mchenry, IL 60051 | 2013-10-03 |
| 1447382015 | Melissa Boger | Specialist/Technologist | 28088 W. Niagara Street, Lakemoor, IL 60051 | 2007-03-09 |
| Find all providers in zip 60051 | ||||
| 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 |
|---|---|---|---|---|
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1851748396 | Denise Coli | Pharmacist | 4222 W Elm St, Mchenry, IL 60050-4030 | 2016-05-13 |
| 1033545900 | Dale Brian Christensen Jr. | Pharmacist | 942 Wiltshire Drive, Mchenry, IL 60050 | 2013-09-23 |
| 1174818322 | Lisa L. Bhatta | Pharmacist | 1860 N. Richmond Rd., Mchenry, IL 60051-5416 | 2011-06-16 |
| 1336434976 | Marc Joseph Garavalia | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2011-06-11 |
| 1568794774 | Angie Lee | Pharmacist | 1900 N Richmond Rd, Mchenry, IL 60051-5402 | 2010-02-12 |
| 1205823283 | Allen Sounhein | Pharmacist | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2005-10-04 |
| 1255946182 | Martyna Turkowicz | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-09-08 |
| 1447863402 | Sarah Beth Chismark | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| 1245843127 | Rafay Ahmed | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| Find all providers in MCHENRY | ||||
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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.