DR. ERIC BRUCE WAGNER (NPI# 1528319365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528319365 |
| Entity Type | Individual |
| Full Name | DR. ERIC BRUCE WAGNER |
| Credential | PHARM.D. |
| Practice Address |
330 Lebby St Pelzer SC 29669-1758 |
| Mailing Address |
6 Korbel Ct Mauldin SC 29662-2864 |
| Practice Telephone | 8649479214 |
| Mailing Telephone | 8142079330 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13913 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316474083 | Eric Jameson Wagner | Student in an Organized Health Care Education/Training Program | 1331 Moursund Ave., Bldg. G Rm 115-118, Houston, TX 77030-5389 | 2017-05-12 |
| 1619263241 | Eric R Wagner | Orthopaedic Surgery | 59 Executive Park S Ste 2000, Atlanta, GA 30329-2208 | 2011-06-22 |
| 1326009143 | Eric John Wagner | Dentist | 112 2nd Ave Nw, Hampton, IA 50441-1724 | 2006-03-31 |
| 1083222905 | Eric Wagner | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-16 |
| 1306312012 | Eric Wagner | Behavior Technician | 2818 N Ralph Ave, Tucson, AZ 85712-1635 | 2018-10-19 |
| 1306358445 | Eric David Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-30 |
| 1487043196 | Eric Wagner | Licensed Practical Nurse | 526 W Main St, Sparta, WI 54656-2146 | 2015-01-19 |
| 1043563323 | Eric Michael Wagner | Pharmacist | 110 Southside Blvd, Dillon, MT 59725-3536 | 2012-10-23 |
| 1770856106 | Eric Martin Wagner | Physician Assistant | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2012-02-15 |
| 1477875078 | Eric N Wagner | Hearing Instrument Specialist | 218 W Market St, Ste7, Charlottesville, VA 22902-5061 | 2010-02-23 |
| Street Address |
330 LEBBY ST |
| City | PELZER |
| State | SC |
| Zip Code | 29669-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831444793 | Archana Patel | Pharmacist | 330 Lebby St, Pelzer, SC 29669-1758 | 2012-07-17 |
| 1932584406 | Allison Marie Whitney | Pharmacist | 330 Lebby St, Pelzer, SC 29669-1758 | 2015-07-27 |
| 1295828655 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 330 Lebby St, Pelzer, SC 29669-1758 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027985 | Crystal S Sims | Local Education Agency (LEA) | 10 W Stewart St, Pelzer, SC 29669-1126 | 2013-08-13 |
| 1720414667 | Denise Marie Bentley | Registered Nurse | 10 W Stewart St, Pelzer, SC 29669-1126 | 2013-09-24 |
| 1649828351 | Tammy Turner | Technician | 17 Hindman St, Pelzer, SC 29669-1222 | 2019-08-27 |
| 1093940967 | Jacquelyn Denise Robins | Advanced Practice Midwife | 411 Anderson St, Pelzer, SC 29669-1322 | 2009-05-21 |
| 1831448570 | Laura L Roberts | Pharmacist | 1 Main Street, West Pelzer, SC 29669-1503 | 2012-09-07 |
| 1306194345 | Julie Saylors Martin | Pharmacist | 1 Main St, Pelzer, SC 29669-1503 | 2012-08-23 |
| 1720235492 | Tina Renee Aiken | Pharmacist | 1 Main St, Pelzer, SC 29669-1503 | 2008-08-25 |
| 1740383504 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Main St, West Pelzer, SC 29669-1503 | 2006-09-07 |
| 1518081884 | Connor Brown Hopkins | Dentist | 112 Highway 20 S, Pelzer, SC 29669-1509 | 2007-03-19 |
| 1932509221 | Palmetto Dental Studio Pelzer, LLC | Dentist | 112 Highway 20 S, Pelzer, SC 29669-1509 | 2014-08-25 |
| Find all providers in zip 29669 | ||||
| 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 |
|---|---|---|---|---|
| 1831444793 | Archana Patel | Pharmacist | 330 Lebby St, Pelzer, SC 29669-1758 | 2012-07-17 |
| 1922316181 | Reynold Arthur Mcclain | Pharmacist | 297 Highway 20 S, Pelzer, SC 29669-9405 | 2010-09-21 |
| 1346387271 | Karen Nicole Smith | Pharmacist | 303 Berry Rd, Pelzer, SC 29669-9672 | 2007-01-31 |
| 1932584406 | Allison Marie Whitney | Pharmacist | 330 Lebby St, Pelzer, SC 29669-1758 | 2015-07-27 |
| 1306194345 | Julie Saylors Martin | Pharmacist | 1 Main St, Pelzer, SC 29669-1503 | 2012-08-23 |
| 1720235492 | Tina Renee Aiken | Pharmacist | 1 Main St, Pelzer, SC 29669-1503 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1609475458 | Douglas Hansford Netterville | Pharmacist | 248 Ivy Woods Ct, Fountain Inn, SC 29644-9256 | 2020-10-22 |
| 1497354385 | Caroline Gardner | Pharmacist | 1062 10th Ave, Aynor, SC 29511 | 2020-10-21 |
| 1972100246 | Meet Patel | Pharmacist | 210 Mcphail Farms Cir, Anderson, SC 29621-2579 | 2020-10-08 |
| 1780281170 | Hannah L Russell | Pharmacist | 2954 Eppington South Dr, Fort Mill, SC 29708-6949 | 2020-10-08 |
| 1235736133 | Renisha Rabara | Pharmacist | 2742 Disney Pl, Indian Land, SC 29707-5957 | 2020-10-04 |
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1770198798 | Donnie Eric Ridings | Pharmacist | 471 Waterford Point Dr, Boiling Springs, SC 29316-7721 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ERIC BRUCE 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.