DR. SHALA WAGH (NPI# 1609198068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609198068 |
| Entity Type | Individual |
| Full Name | DR. SHALA WAGH |
| Credential | PHARMD |
| Practice Address |
800 Clarmont Ave Bensalem PA 19020-5705 |
| Practice Telephone | 8006264427 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
RP441993 | PA | Pharmacy Service Providers |
| Street Address |
800 CLARMONT AVE |
| City | BENSALEM |
| State | PA |
| Zip Code | 19020-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521043 | Home Healthcare Resources Inc | Durable Medical Equipment & Medical Supplies | 800 Clarmont Ave, Bensalem, PA 19020-5705 | 2006-05-03 |
| 1356949820 | Gina Manno-mitchell | Counselor | 800 Clarmont Ave, Bensalem, PA 19020-5705 | 2020-10-15 |
| 1861004574 | Kevin Michael Hawk | Counselor | 800 Clarmont Ave, Bensalem, PA 19020-5705 | 2020-08-24 |
| 1417465329 | Cindy Elayoubi | Behavioral Analyst | 800 Clarmont Ave, Bensalem, PA 19020-5705 | 2018-01-12 |
| 1992100473 | Alexis Hansen | Social Worker | 800 Clarmont Ave, Bensalem, PA 19020-5705 | 2014-10-27 |
| 1699192468 | Lisa D Bierma | Social Worker | 800 Clarmont Ave, Suite B, Bensalem, PA 19020-5705 | 2014-03-18 |
| 1023444627 | Brooke K Coleman | Social Worker | 800 Clarmont Ave, Suite B, Bensalem, PA 19020-5705 | 2013-09-16 |
| 1972949824 | Sara Elizabeth Romasco | Behavioral Analyst | 800 Clarmont Ave, Bensalem, PA 19020-5705 | 2013-05-20 |
| 1588901797 | Traci Anne Neary | Marriage & Family Therapist | 800 Clarmont Ave, Suite B, Bensalem, PA 19020-5705 | 2013-01-08 |
| 1851614267 | Sherry Ma | Pharmacist | 800 Clarmont Ave, Bensalem, PA 19020-5705 | 2010-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580998 | Smart Choice Pharmacy | Pharmacy | 1941 Street Road, Bensalem, PA 19020 | 2019-04-02 |
| 1275072910 | Sakina Shakir | Physical Therapist | 449 High Rd, Apt B2, Bensalem, PA 19020 | 2017-02-14 |
| 1699211755 | Kevin Maness | Social Worker | 4833 Hulmeville Rd., Bensalem, PA 19020 | 2017-01-13 |
| 1134583545 | Ashley Perrone | Marriage & Family Therapist | 501 Cambria Ave., Suite #113, Bensalem, PA 19020 | 2016-04-12 |
| 1720464720 | Amanda Morton | Specialist/Technologist | 1851 Adler Road, Bensalem, PA 19020 | 2015-08-03 |
| 1205241551 | Nane Baluyan | Dentist | 3200 Bristol Rd, Bensalem, PA 19020 | 2014-06-25 |
| 1972915247 | Outstanding Homecare Solutions LLC | Home Health | 3010 Bristal Pike, 1-102d, Bensalem, PA 19020 | 2014-05-21 |
| 1164841789 | Daria M. Kemp | Dermatology | 1950 Street Rd Ste 100, Bensalem, PA 19020 | 2014-04-10 |
| 1043638000 | Angelo Paul Savelloni | Podiatrist | 3554 Hulmeville Rd Ste 104, Bensalem, PA 19020 | 2014-04-06 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| Find all providers in zip 19020 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871938233 | Craig S Konzen | Pharmacist | 545 Charleston Rd, Wellsboro, PA 16901-8351 | 2013-04-29 |
| 1164620183 | Tep M Kang | Pharmacist | 20 Clemson Dr, Garnet Valley, PA 19061-1621 | 2007-07-11 |
| 1821556051 | Linda Mosesso Zandier | Pharmacist | 5230 Centre Ave, Pittsburgh, PA 15232-1304 | 2019-03-06 |
| 1295142800 | Albert Berrettini Jr. | Pharmacist | 144 Desmond St, Sayre, PA 18840-2002 | 2014-07-15 |
| 1194005140 | Megan E Bussard | Pharmacist | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2011-08-23 |
| 1184871790 | Pamela Salwocki | Pharmacist | 100 N Academy Ave, Pharmacy 42-01, Danville, PA 17822-9800 | 2008-08-26 |
| 1548460033 | David C Kossor | Pharmacist | 848 W Kings Hwy, Coatesville, PA 19320-1714 | 2007-07-23 |
| 1184744492 | Brian James King | Pharmacist | 66 W Pike St, Canonsburg, PA 15317-1314 | 2007-03-30 |
| 1295883510 | Jacob M. Sherk | Pharmacist | 428 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2007-01-05 |
| 1104877158 | Robert E Hartzell | Pharmacist | 300 American St, Catasauqua, PA 18032-1800 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
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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.