PATRICIA WAGNER (NPI# 1730493453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730493453 |
| Entity Type | Individual |
| Full Name | PATRICIA WAGNER |
| Practice Address |
2119 S Us Highway 27 Saint Johns MI 48879-9166 |
| Mailing Address |
708 W Cass St Saint Johns MI 48879-1719 |
| Practice Telephone | 9892248976 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302037273 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215332705 | Patricia Anne Wagner | Specialist/Technologist | 1401 Blackfoot Trl, Woodland Park, CO 80863-8304 | 2014-10-27 |
| 1851606602 | Patricia M Wagner | Physical Therapy Assistant | 126 Hanover St, Carnegie, PA 15106-1204 | 2010-08-17 |
| 1770031759 | Patricia Wagner | Nurse Practitioner | 1200 E Woodhurst Dr, Q200, Springfield, MO 65804-4261 | 2016-09-19 |
| 1902200322 | Patricia Marie Wagner | Occupational Therapist | 65 N Meadowcroft Dr, Akron, OH 44313-6251 | 2014-10-14 |
| 1689015174 | Patricia M Wagner | Occupational Therapist | 179 Sw 5th Ave, Meridian, ID 83642-2995 | 2013-07-12 |
| 1306195078 | Patricia Ann Wagner | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2012-09-10 |
| 1902191224 | Patricia Wagner | Nurse Practitioner | 7809 Wisconsin Ave, Bethesda, MD 20814-3523 | 2011-06-15 |
| 1568753952 | Patricia A Wagner | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-04-20 |
| 1730490202 | Patricia A Wagner | Pharmacist | 10 Central Ave, Ilion, NY 13357-1822 | 2010-06-29 |
| 1225214083 | Patricia Wagner | Occupational Therapist | 11230 Cornell Park Dr, Blue Ash, OH 45242-1825 | 2008-01-11 |
| Street Address |
2119 S US HIGHWAY 27 |
| City | SAINT JOHNS |
| State | MI |
| Zip Code | 48879-9166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871884221 | Leslie A Patrick | Pharmacist | 2119 S Us Highway 27, Saint Johns, MI 48879-9166 | 2011-04-20 |
| 1619908605 | Kmart of Michigan Inc | Pharmacy | 2119 S Us Highway 27, Saint Johns, MI 48879-9166 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
| 1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
| 1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
| 1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
| 1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
| 1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
| 1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
| 1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
| Find all providers in zip 48879 | ||||
| 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 |
|---|---|---|---|---|
| 1003378837 | Kelsie Mack | Pharmacist | 501 E Kings College Dr, Saint Johns, FL 32259-5941 | 2019-04-01 |
| 1376001842 | Laura Fasolt | Pharmacist | 287 Richmond Dr, Saint Johns, FL 32259-8031 | 2019-03-04 |
| 1407303670 | Felix Mitchell II | Pharmacist | 101 Chatsworth Dr, Saint Johns, FL 32259-7221 | 2016-09-06 |
| 1538586367 | Swetal Gandhi | Pharmacist | 811 Stelling Ct, Saint Johns, FL 32259-8208 | 2014-03-18 |
| 1578804902 | Venu Gopal Kolla | Pharmacist | 212 Tadcaster Ct, Saint Johns, FL 32259-7256 | 2013-03-11 |
| 1750629994 | Tracie Boudreau | Pharmacist | 450 State Road 13 Suite 109, Saint Johns, FL 32259 | 2013-01-23 |
| 1730432337 | Susan Scott Earnhart | Pharmacist | 960 Lawhon Dr, Saint Johns, FL 32259-9083 | 2012-10-19 |
| 1841433117 | Suresh Kumar Agarwal | Pharmacist | 109 N Whittemore St, Saint Johns, MI 48879-1649 | 2009-04-15 |
| 1104906957 | Charles David Blaksmith | Pharmacist | 2756 Avery Rd, Saint Johns, MI 48879-9047 | 2006-10-16 |
| 1538773049 | Rosemary Munoz | Pharmacist | 2845 County Road 210 W, Saint Johns, FL 32259-2016 | 2020-09-02 |
| Find all providers in SAINT JOHNS | ||||
| City | SAINT JOHNS |
| Zip Code | 48879 |
Please comment or provide details below to improve the information on PATRICIA 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.