JONATHAN MARK WAGNER (NPI# 1932749488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932749488 |
| Entity Type | Individual |
| Full Name | JONATHAN MARK WAGNER |
| Practice Address |
29 S Chadbourne St San Angelo TX 76903-5805 |
| Practice Telephone | 3256553146 |
| Mailing Telephone | 3256553146 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 48807 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962926592 | Jonathan Dewaine Wagner | Occupational Therapist | 661 Rutherford Rd, Greenville, SC 29609-4640 | 2017-07-26 |
| 1851611362 | Jonathan B Wagner | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-06-07 |
| 1467642090 | Jonathan Carl Wagner | Counselor | 939 Market St Fl 4, San Francisco, CA 94103-1730 | 2007-07-30 |
| 1629274287 | Jonathan Graham Wagner | Emergency Medicine | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2007-06-21 |
| Street Address |
29 S CHADBOURNE ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395735 | Amanda N Rasberry | Pharmacist | 29 S Chadbourne St, San Angelo, TX 76903-5805 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| 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 |
|---|---|---|---|---|
| 1174061295 | Yujun Rong | Pharmacist | 7101 Appaloosa Trail Apt 116, San Angelo, TX 76901 | 2017-02-09 |
| 1972925295 | Carlos Robledo | Pharmacist | 2626 Smith Blvd, San Angelo, TX 76905-4285 | 2014-01-07 |
| 1932538170 | Elizabeth Murillo | Pharmacist | 2117 N Magdalen St, San Angelo, TX 76903-3042 | 2013-11-07 |
| 1992090484 | Ronald Havis Clark | Pharmacist | 4405 Winterberry Ln, San Angelo, TX 76904-4530 | 2011-06-13 |
| 1487961769 | John Paul Kinyon | Pharmacist | 3368 Sherwood Way, San Angelo, TX 76901 | 2010-09-08 |
| 1326218785 | Robert Earl Roe | Pharmacist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2008-03-01 |
| 1285855338 | Marty Daniel | Pharmacist | 3520 Knickerbocker Road Suite A, San Angelo, TX 76904 | 2007-05-02 |
| 1831221514 | Robert Duane Rotschafer I | Pharmacist | 3618 High Meadow Dr, San Angelo, TX 76904-5964 | 2007-03-09 |
| 1962554592 | South Carolina Erica, Inc | Pharmacist | 1926 N Bryant Blvd, San Angelo, TX 76903-3744 | 2007-01-16 |
| 1164590048 | George E Jones Jr. | Pharmacist | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2006-12-01 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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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.