DR. ELLEN WANDA WAGNER (NPI# 1821300823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821300823 |
| Entity Type | Individual |
| Full Name | DR. ELLEN WANDA WAGNER |
| Credential | PHARM D |
| Practice Address |
5006 N Broadway St Knoxville TN 37918-2340 |
| Practice Telephone | 8656881812 |
| Mailing Telephone | 8656881812 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12235 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953467 | Ellen Wagner | Physical Therapist | 10640 N Riverside Dr Ste 200, Fort Worth, TX 76244-9506 | 2020-08-19 |
| 1710508155 | Ellen Wagner | Occupational Therapist | 508 10th Ave, Belmar, NJ 07719-2317 | 2020-04-27 |
| 1871089136 | Ellen Wagner | Pediatrics | 5841 S Maryland Ave # Mc8016, Chicago, IL 60637-1443 | 2018-07-10 |
| 1417349036 | Ellen Wagner | Pharmacist | 5420 Liberty Fairfield Rd, Liberty Twp, OH 45011-2680 | 2015-02-19 |
| 1679975411 | Ellen Africano Wagner | Registered Nurse | 19624 Governors Hwy, Flossmoor, IL 60422-2077 | 2014-09-24 |
| 1568408789 | Ellen A Wagner | Nurse Anesthetist, Certified Registered | 265 Herrick Road, Southampton, NY 11968 | 2006-06-22 |
| 1316987753 | Ellen Rogers Wagner | Optometrist | 806 Riverside Ave, Suite 100, Jacksonville, FL 32204-3337 | 2006-06-07 |
| Street Address |
5006 N BROADWAY ST |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467469460 | Walgreen Co | Pharmacy | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2006-08-02 |
| 1760093314 | Rachel Elizabeth Jamieson | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2020-08-16 |
| 1013528769 | Savannah Kay Foster | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2020-08-14 |
| 1003191529 | Michael Diamondstone | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2011-10-16 |
| 1740565266 | Cheridy Diamondstone | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2011-10-16 |
| 1174806855 | Michelle Marie Silvey | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2011-09-20 |
| 1245512987 | Luke Allen Sowards | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2011-09-19 |
| 1568744084 | James E Mckinney | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2011-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| 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 |
|---|---|---|---|---|
| 1841805637 | Jenifer C. Jennings | Pharmacist | 615 State St Apt 201, Knoxville, TN 37902-1243 | 2020-09-09 |
| 1093327959 | Eric Cunningham | Pharmacist | 10929 Twin Harbour Dr, Knoxville, TN 37934-7002 | 2020-08-20 |
| 1083234488 | Angela Melton | Pharmacist | 7655 S Northshore Dr, Knoxville, TN 37919-8004 | 2020-04-26 |
| 1881154995 | John Murphy | Pharmacist | 421 Ferret Rd, Knoxville, TN 37934-4036 | 2019-03-23 |
| 1053876896 | Believe Rx LLC | Pharmacist | 9627 Countryside Center Ln, Knoxville, TN 37931-4765 | 2019-02-06 |
| 1619469921 | William Ray Copeland | Pharmacist | 3113 Ginn Dr Apt 1, Knoxville, TN 37920-7322 | 2018-06-01 |
| 1235626763 | Brandon Lee Sipe | Pharmacist | 2501 University Commons Way, Knoxville, TN 37919-5584 | 2018-04-19 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1033660428 | Krista King | Pharmacist | 1227 Lake Heritage Way, Apt 305, Knoxville, TN 37922-7709 | 2016-10-20 |
| 1225497852 | Martin Wade Register Jr. | Pharmacist | 3527 Charter Oak Way, Knoxville, TN 37922-9425 | 2016-02-10 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on DR. ELLEN WANDA 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.