BRIAN EDWIN WAGNER (NPI# 1811177751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811177751 |
| Entity Type | Individual |
| Full Name | BRIAN EDWIN WAGNER |
| Credential | PHARMD. |
| Practice Address |
1616 Black River Blvd N Rome NY 13440-3609 |
| Mailing Address |
157 Ben Bar Cir Whitesboro NY 13492-3023 |
| Practice Telephone | 3153395290 |
| Mailing Telephone | 7167251374 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2011-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20 051145 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633931 | Brian J Wagner | Obstetrics & Gynecology | 1176 Fifith Avenue E Level, New York, NY 10029-6501 | 2006-10-17 |
| 1790893410 | Brian M Wagner | Dentist | 7120 S Us Highway 231, Huntingburg, IN 47542-9319 | 2006-08-25 |
| 1093743502 | Brian Keith Wagner | Podiatrist | 11 South Rd Lowr Level20, Farmington, CT 06032-2483 | 2006-06-30 |
| 1114333549 | Brian Wagner | Counselor | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2014-07-07 |
| 1265576433 | Brian Wagner | Marriage & Family Therapist | 1885 Lundy Ave, Suite 223, San Jose, CA 95131-1887 | 2007-02-19 |
| 1831204270 | Brian R. Wagner | Counselor | 73 S Central Ave, Valley Stream, NY 11580-5402 | 2006-08-19 |
| 1205815917 | Brian Lee Wagner | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2006-01-11 |
| Street Address |
1616 BLACK RIVER BLVD N |
| City | ROME |
| State | NY |
| Zip Code | 13440-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689193674 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1616 Black River Blvd N, Rome, NY 13440-3609 | 2017-09-12 |
| 1902214968 | Marietta Maria Guzda | Pharmacist | 1616 Black River Blvd N, Rome, NY 13440-3609 | 2014-07-22 |
| 1508048109 | Amy Hughes | Pharmacist | 1616 Black River Blvd N, Rome, NY 13440-3609 | 2007-12-05 |
| 1952583643 | Francesco Giuliano | Pharmacist | 1616 Black River Blvd N, Rome, NY 13440-3609 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1770135246 | Nys Doccs Mohawk Correctional Facility Pharmacy | Pharmacist | 6514 Rt. 26, Building 55, Rome, NY 13442 | 2019-07-15 |
| 1891170650 | Colleen Foose | Pharmacist | 7695 Kilbourn Rd, Rome, NY 13440-6332 | 2015-07-22 |
| 1104201169 | Zachery Yates | Pharmacist | 6437 Monument Rd, Rome, NY 13440-7209 | 2015-07-20 |
| 1205210259 | Alex Gelfand | Pharmacist | 2006 Maple Ave Sw, Rome, GA 30161-6739 | 2015-07-18 |
| 1487049383 | Christopher Ryan Coker | Pharmacist | 681 Ervin Coker Rd Ne, Rome, GA 30161-3939 | 2015-03-30 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1891196416 | Kyle David Giczkowski | Pharmacist | 6408 Edgewood Dr, Rome, NY 13440-1938 | 2014-09-15 |
| 1669899100 | Kevin Hoehn | Pharmacist | 7576 Watson Hollow Rd, Rome, NY 13440-1524 | 2014-03-22 |
| 1871929422 | Amanda Elyse Zell | Pharmacist | 435 Turner Mccall Blvd Ne, Rome, GA 30165-2735 | 2013-09-15 |
| Find all providers in ROME | ||||
Please comment or provide details below to improve the information on BRIAN EDWIN 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.