TODD WAGNER (NPI# 1356649974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356649974 |
| Entity Type | Individual |
| Full Name | TODD WAGNER |
| Credential | RPH |
| Practice Address |
4408 W Hundred Rd Chester VA 23831-1738 |
| Practice Telephone | 8047482284 |
| Mailing Telephone | 8047482284 |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2011-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 11668 | NC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0202009456 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841339132 | Todd J Wagner | Physical Therapist | 204 E Jefferson, Whitney, TX 76692 | 2007-02-05 |
| 1629067517 | Todd L Wagner | Preventive Medicine | 1887 Powhatan St., Navy Environmental and Preventive Medicine Unit 2, Norfolk, VA 23511 | 2005-10-14 |
| 1063674299 | Todd Emmit Wagner | Family Medicine | 21100 Southgate Park Blvd, Maple Heights, OH 44137-3004 | 2008-06-29 |
| Street Address |
4408 W HUNDRED RD |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598084535 | Vasilios Lambrinides | Pharmacist | 4408 W Hundred Rd, Chester, VA 23831-1738 | 2010-05-28 |
| 1104220359 | Kefali Teklemariam | Pharmacist | 4408 W Hundred Rd, Chester, VA 23831-1738 | 2014-10-17 |
| 1295140952 | Harrison Sarpong | Pharmacist | 4408 W Hundred Rd, Chester, VA 23831-1738 | 2014-06-20 |
| 1942613757 | Jayme Lea Hatch | Pharmacist | 4408 W Hundred Rd, Chester, VA 23831-1738 | 2014-06-09 |
| 1598054819 | Zenobia Hurdle | Pharmacist | 4408 W Hundred Rd, Chester, VA 23831-1738 | 2011-04-07 |
| 1669785895 | Lannie William Cropper Jr. | Pharmacist | 4408 W Hundred Rd, Chester, VA 23831-1738 | 2010-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| 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 |
|---|---|---|---|---|
| 1801412515 | Diane Meyerhoff | Pharmacist | 2323 Old Plank Rd, Chester, IL 62233-1153 | 2020-06-18 |
| 1881093136 | David Fantozzi | Pharmacist | 125 Claiborne St, Chester, MD 21619-2911 | 2014-08-21 |
| 1184023202 | Karri Jo Sundgren | Pharmacist | 500 East Washington Ave, Chester, MT 59522-0579 | 2014-08-14 |
| 1730593278 | Derrrick Botkins | Pharmacist | 4609 Exton Ln, Chester, VA 23831-6863 | 2014-06-12 |
| 1225466386 | Linda Hamilton | Pharmacist | 204 Thornhill Drive, Chester, VA 23836 | 2013-10-28 |
| 1568714889 | Jason Vance Baker | Pharmacist | 1436 Ja Cochrane Bypass, Chester, SC 29706-2187 | 2012-10-10 |
| 1104125459 | Charles Benjamin Sadler Jr. | Pharmacist | 10444 Gravel Neck Dr, Chester, VA 23831-1226 | 2011-03-24 |
| 1902115918 | Hany Mohamed Ibrahim Gaballa | Pharmacist | 2722 W 9th St, Chester, PA 19013-2043 | 2010-09-26 |
| 1972811354 | Osinakachi Ejike Egbukwu | Pharmacist | 1600 Edgmont Ave, Chester, PA 19013-5325 | 2010-09-20 |
| 1417262197 | David Thomas Simpson | Pharmacist | 1436 J A Cochran Byp, Chester, SC 29706-2187 | 2010-08-18 |
| Find all providers in CHESTER | ||||
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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.