DR. WILLIAM SCOTT WAGNER (NPI# 1316969892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316969892 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM SCOTT WAGNER |
| Credential | PHARMD |
| Practice Address |
1638 State Route 106 Clifford PA 18413 |
| Mailing Address |
Po Box 189 Clifford PA 18413-0189 |
| Practice Telephone | 5702227500 |
| Practice Fax Number | 5702227503 |
| Mailing Telephone | 5702227500 |
| Mailing Fax Number | 5702227503 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP039257L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594963 | William Douglas Wagner | Counselor | 2139 Palm Ct, North Port, FL 34287-5724 | 2011-10-11 |
| 1497967947 | William A Wagner | General Practice | 2317 Elmwood Dr Se, Grand Rapids, MI 49506-4055 | 2007-05-05 |
| 1396882130 | William L Wagner | Chiropractor | 303 W Birnie St, Gaffney, SC 29341-2307 | 2007-01-31 |
| 1760535587 | William Scott Wagner | Dentist | 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493 | 2007-01-18 |
| 1477603702 | William Claude Wagner | Dentist | 211 N Prairie St, Bloomington, IL 61701 | 2007-01-11 |
| 1255419511 | William Wagner | Family Medicine | 6214 Johnson St, Hollywood, FL 33024-5932 | 2006-11-02 |
| 1558384875 | William Wagner | Nurse Anesthetist, Certified Registered | 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 | 2006-07-26 |
| 1871528455 | William Frederick Wagner | Anesthesiology | 1506 N Fant St, Anderson, SC 29621-4708 | 2006-07-11 |
| 1639130446 | William John Wagner | Family Medicine | 531 Broad St, Montoursville, PA 17754-2338 | 2006-03-31 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| Street Address |
1638 STATE ROUTE 106 |
| City | CLIFFORD |
| State | PA |
| Zip Code | 18413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689694283 | Endless Mountains Pharmacy Inc | Pharmacy | 1638 State Route 106, Clifford, PA 18413 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487894705 | Jared M Shayka | Pharmacist | 1866 State Route 106, Suite 11, Clifford, PA 18413 | 2009-02-26 |
| 1841374469 | Sandra Cosklo | Internal Medicine | Box 120 Main Street, Clifford, PA 18413 | 2006-10-24 |
| 1710148275 | Russell Paul Swetter | Dentist | 46 Main St, Clifford, PA 18413 | 2008-06-18 |
| 1235183518 | Clifford Family Chiropractic | Chiropractor | Mt View Plaza, Suite 3, Clifford, PA 18413-0009 | 2006-05-20 |
| 1396940300 | Maxis Medical Services | Internal Medicine | Main Street, Clifford, PA 18413-0120 | 2007-06-19 |
| 1770660755 | Ladies Auxiliary of The Clifford Township Volunteer Fire Company | Ambulance | State Route 106, Clifford, PA 18413-9800 | 2006-11-01 |
| 1518145879 | Clifford Township Volunteer Fire Company | Ambulance | 84 Main St, Clifford, PA 18413-9800 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609243732 | Elizabethann Lowe | Licensed Practical Nurse | 8967 Sharp Rd, Clifford, MI 48727-9730 | 2015-08-24 |
| 1760403380 | Rachel Marie Bennett | Specialist/Technologist | 6711 Smith Rd, Clifford, MI 48727-9521 | 2006-07-21 |
| 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 |
|---|---|---|---|---|
| 1487894705 | Jared M Shayka | Pharmacist | 1866 State Route 106, Suite 11, Clifford, PA 18413 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
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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.