MRS. TINA WAGNER (NPI# 1134511645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134511645 |
| Entity Type | Individual |
| Full Name | MRS. TINA WAGNER |
| Credential | PHARMD |
| Practice Address |
210 Sterling Run Blvd Mount Orab OH 45154-8350 |
| Mailing Address |
1213 Glenwood Trl Batavia OH 45103-2784 |
| Practice Telephone | 9374446911 |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03129729 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770899270 | Tina Marie Wagner | Counselor | 1014 Walla Walla Ave, Wenatchee, WA 98801-1523 | 2010-08-23 |
| Street Address |
210 STERLING RUN BLVD |
| City | MOUNT ORAB |
| State | OH |
| Zip Code | 45154-8350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043244759 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2006-07-10 |
| 1205467214 | Sara E Lipka | Nurse Practitioner | 210 Sterling Run Blvd, Mount Orab, OH 45154-8395 | 2020-01-29 |
| 1093298978 | Sara Louise Hauke | Nurse Practitioner | 210 Sterling Run Blvd, Mount Orab, OH 45154-8395 | 2018-09-07 |
| 1770975070 | Julie Boychan | Pharmacist | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2015-02-23 |
| 1114319613 | Autumn Louise Preston | Pharmacist | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2015-02-21 |
| 1689066102 | John Otto | Pharmacist | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2015-02-20 |
| 1295168383 | Mitchell Smith Mcmanis | Registered Nurse | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2013-08-13 |
| 1710323050 | The Little Clinic of Ohio LLC | Nurse Practitioner | 210 Sterling Run Blvd, Mount Orab, OH 45154 | 2013-05-14 |
| 1619236908 | Jacqueline Bolmer | Nurse Practitioner | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649708 | Lloyd David Dehart | Technician | 14555 Newharmony Salem Rd, Mount Orab, OH 45154 | 2020-11-03 |
| 1245839901 | Wendy Ellen Driskill | Homemaker | 4254 Upper Five Mile East Rd, Mount Orab, OH 45154 | 2020-10-22 |
| 1871190298 | Debora Lee Rothwell | Homemaker | 14561 Salem Church Rd, Mount Orab, OH 45154 | 2020-10-08 |
| 1205375516 | Deborah Ann Otten | Social Worker | 116 North High Street, Mt. Orab, OH 45154 | 2017-02-20 |
| 1750837472 | Sheryl Schwarber | Contractor | 309 1/2 Water St, Mount Orab, OH 45154 | 2016-09-01 |
| 1639515794 | Nicole Kristin Hance | Nurse Practitioner | 292 Brooks Malott Rd., Mt. Orab, OH 45154 | 2013-05-16 |
| 1467767822 | Allcare Home Health, LLC | Home Health | 100 Liming Farming Rd., Mount Orab, OH 45154 | 2010-08-10 |
| 1801032404 | Janet Marie Fetters | Contractor | 453 West Main Street, Mount Orab, OH 45154 | 2009-01-02 |
| 1982824124 | Rosa Lee Begley | Home Health Aide | 4256 Upper Five Mile East Road, Mt Orab, OH 45154 | 2007-04-30 |
| 1295950400 | Valerie Lynne Bazylewicz | Family Medicine | 123 Emmons Place, Mount Orab, OH 45154 | 2007-04-13 |
| Find all providers in zip 45154 | ||||
| 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 |
|---|---|---|---|---|
| 1699167981 | Joseph Bachman | Pharmacist | 123 Emmons Pl, Mount Orab, OH 45154-9490 | 2015-02-24 |
| 1326021098 | Daniel Raymond Behrens | Pharmacist | 131 N Point Dr, Mount Orab, OH 45154-8366 | 2005-11-27 |
| 1629698055 | Samuel L Rotunna | Pharmacist | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2020-04-27 |
| 1770975070 | Julie Boychan | Pharmacist | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2015-02-23 |
| 1114319613 | Autumn Louise Preston | Pharmacist | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2015-02-21 |
| 1689066102 | John Otto | Pharmacist | 210 Sterling Run Blvd, Mount Orab, OH 45154-8350 | 2015-02-20 |
| 1295851772 | Vicki Lee Deatley | Pharmacist | 131 N Point Dr, Mount Orab, OH 45154-8366 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1104427921 | Karen Ann Froendhoff | Pharmacist | 1815 St Rt 125, Amelia, OH 45102-2565 | 2020-11-06 |
| 1548861446 | Ina M Parekh | Pharmacist | 2557 Nicholas Ln, Dresden, OH 43821-9578 | 2020-11-06 |
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1063013803 | Priti C Shah | Pharmacist | 8523 Hickory Hill Dr, Youngstown, OH 44514-3285 | 2020-11-06 |
| 1841891900 | Ami Hardik Parikh | Pharmacist | 8288 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-11-05 |
| 1609477835 | Roy Walter Palumbo IIi | Pharmacist | 1116 Bedford Rd, Lowellville, OH 44436-9748 | 2020-11-04 |
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1083215172 | Ashley Dozier | Pharmacist | 8288 Cincinnati-dayton Road, West Chester, OH 45069 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT ORAB |
| Zip Code | 45154 |
Please comment or provide details below to improve the information on MRS. TINA WAGNER.
| 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.