MR. JEFFREY FRANK WAGNER (NPI# 1881151876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881151876 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY FRANK WAGNER |
| Credential | RPH |
| Practice Address |
6310 Health Park Way Ste 130 Lakewood Ranch FL 34202-5177 |
| Practice Telephone | 9419071500 |
| Practice Fax Number | 9419071544 |
| Mailing Telephone | 9419071500 |
| Mailing Fax Number | 9419071544 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS25376 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760521843 | Jeffrey M Wagner | Psychologist | 500 Market Street 1-g, Portsmouth, NH 03801 | 2007-02-06 |
| 1437244050 | Jeffrey Todd Wagner | Physical Therapist | 1 Gateway Drive, Wading River, NY 11792 | 2006-10-03 |
| 1891744967 | Jeffrey Douglas Wagner | Physician Assistant | 18 Ronald Ln, Sayville, NY 11782-1622 | 2006-05-08 |
| 1881684207 | Jeffrey M Wagner | Allergy & Immunology | 98 Willow Ln, Spartanburg, SC 29307-1357 | 2005-10-26 |
| 1881690790 | Jeffrey David Wagner | Surgery | 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 | 2005-06-24 |
| 1255894481 | Jeffrey Ryan Wagner | Student in an Organized Health Care Education/Training Program | 2425 Geary Blvd, San Francisco, CA 94115-3358 | 2019-04-14 |
| 1003312117 | Jeffrey Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-05 |
| 1023552114 | Jeffrey David Wagner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239 | 2016-12-08 |
| 1578798914 | Jeffrey Mark Wagner | Physical Therapist | 1430 Esplanade, Suite 8, Chico, CA 95926-3366 | 2009-05-28 |
| 1568624187 | Jeffrey G Wagner | Family Medicine | 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148 | 2008-06-25 |
| Street Address |
6310 HEALTH PARK WAY STE 130 |
| City | LAKEWOOD RANCH |
| State | FL |
| Zip Code | 34202-5177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| 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 |
|---|---|---|---|---|
| 1952886350 | Lauren C Reda | Pharmacist | 11205 State Road 70 E, Lakewood Ranch, FL 34202-9404 | 2018-10-01 |
| 1750873360 | Rinita Acevedo | Pharmacist | 13705 Glossy Ibis Pl, Lakewood Ranch, FL 34202-6339 | 2018-05-31 |
| 1417347865 | Kristen Mendoza | Pharmacist | 14880 Skip Jack Loop, Lakewood Ranch, FL 34202-5870 | 2015-01-23 |
| 1326438789 | Melissa Jang Johnson | Pharmacist | 11270 Ranch Creek Ter Apt 412, Lakewood Ranch, FL 34211-4040 | 2015-01-23 |
| 1144629783 | Tara Covino | Pharmacist | 8116 Natures Way Unit 32, Lakewood Ranch, FL 34202-4115 | 2014-08-20 |
| 1194072892 | Kristin Anne Ladewig | Pharmacist | 7324 Black Walnut Way, Lakewood Ranch, FL 34202-6400 | 2012-08-13 |
| 1821367186 | Terry Van Gubbins | Pharmacist | 14426 Sundial Pl, Lakewood Ranch, FL 34202-5888 | 2011-12-15 |
| 1598313421 | Yadiel Nieves | Pharmacist | 7325 University Pkwy, Lakewood Ranch, FL 34202-2300 | 2019-09-04 |
| 1043720873 | Jonathan Hanjin Lee | Pharmacist | 8330 Market St, Lakewood Ranch, FL 34202-5137 | 2017-10-06 |
| 1205355914 | Christian James Skala | Pharmacist | 11205 E State Road 70, Lakewood Ranch, FL 34202-9404 | 2017-09-13 |
| Find all providers in LAKEWOOD RANCH | ||||
| City | LAKEWOOD RANCH |
| Zip Code | 34202 |
Please comment or provide details below to improve the information on MR. JEFFREY FRANK 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.