ADAM WAGNER


Address: 2171 Hartly Cir, Redding, CA 96003-9045
Phone: 5303562346

ADAM WAGNER (NPI# 1124475850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124475850
Entity Type Individual
Full Name ADAM WAGNER
Credential PHARM.D.
Practice Address 2171 Hartly Cir
Redding
CA 96003-9045
Practice Telephone 5303562346
Mailing Telephone 5303562346
Enumeration Date 2016-05-23
Last Update Date 2016-05-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist PI0011668 OR Pharmacy Service Providers
Y 183500000X Pharmacist IR60376907 WA Pharmacy Service Providers

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1831105758 Adam Brian Wagner Chiropractor 751 E Union Hills Dr, #7, Phoenix, AZ 85024-2978 2006-07-31
1740761022 Adam Wagner Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-08-24

Office Location

Street Address 2171 HARTLY CIR
City REDDING
State CA
Zip Code 96003-9045

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144882309 Patricia Price Social Worker 2280 Benton Dr Building C, Suite A, Redding, CA 96003 2019-07-08
1487102745 Jill Marie Shepherd Piercy Clark Psychologist 1465 Victor Ave Ste B, Redding, CA 96003 2016-09-15
1811344450 Roger Milton Slagle Social Worker 999 Mission De Oro Dr Ste 103, Redding, CA 96003 2016-05-23
1265713812 Tesha Marie Huston Pharmacist 975 Cypress Ave, Redding, CA 96003 2011-09-08
1861717605 Western Physical Therapy Inc Physical Therapist 1495 Victor Ave, Suite D, Redding, CA 96003 2010-04-05
1013230036 Douglas Norman Porter Psychologist 748 North Market St., Redding, CA 96003 2010-03-04
1821232877 Express Medi-trans, Inc. Non-emergency Medical Transport (VAN) 2985 Innsbruck Dr, Redding, CA 96003 2009-04-21
1235393000 Bridget Gabrielle Young Physical Therapist 2021 Benton Dr, Redding, CA 96003 2008-07-10
1447427406 Terra Bella Communities Nursing Facility/Intermediate Care Facility 280 Riverpark Drive, Redding, CA 96003 2008-05-09
1588830657 Terra Bella Communities Intermediate Care Facility, Mentally Retarded 237 Shadowrun Ct., Redding, CA 96003 2008-05-07
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558909051 Ronan Rice Pharmacist 5810 Sierra Dr, Redding, CA 96003-1505 2019-12-15
1366005720 Zi Yang He Pharmacist 275 Hilltop Dr Apt 75, Redding, CA 96003-3261 2019-04-20
1912462508 Tzveta Bradley Pharmacist 656 Springer Dr, Redding, CA 96003-4565 2019-02-07
1366987828 Shahrzad Khoobyari Pharmacist 2520 Webb Ct, Redding, CA 96002-1541 2016-12-19
1528510153 Daniel Conklin Pharmacist 2880 Churn Creek, Redding, CA 96002 2016-10-31
1043762784 Jeff Thomas Gerhardson Pharmacist 4531 Shannon Pl, Redding, CA 96001-6010 2016-10-28
1467904243 Dusten Rogerson Pharmacist 317 Lake Blvd Ste B, Redding, CA 96003-2504 2016-10-27
1649656075 Jeannine Carew Pharmacist 591 Hilltop Dr, Apt# 6, Redding, CA 96003-3711 2015-08-07
1417348715 Andrew Van Lien Pharmacist 3637 Eureka Way, Redding, CA 96001-0177 2015-02-09
1164834198 Karen Pirkl Pharmacist 201 Lake Blvd, Redding, CA 96003-2506 2014-05-26
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Competitor

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City REDDING
Zip Code 96003

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Dataset Information

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.

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