Douglas Calvin Wager, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

029369 Issued in NY

Practice address

126 Main St
Penn Yan, NY 14527-1219

Phone

(315) 536-4448

Fax

(315) 536-5043

NPI assigned

Nov 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013096429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 COUNTY HOUSE RD",
            "address_2": "P.O. BOX 607",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279314",
            "telephone_number": "315-536-4448",
            "fax_number": "315-536-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271219",
            "telephone_number": "315-536-4448",
            "fax_number": "315-536-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGER",
        "first_name": "DOUGLAS",
        "middle_name": "CALVIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "029369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Tomion, OT/L
• Scott C Tucker, RPH
• Donald Andrew Tumonis, D.C.
• Allison Vankeuren, RN
• Erica J Verdehem, RN
• Walgreen Co
• Lisa Lynn Walk-Reinard, M.D.
• Karen Long Walker
• Stacey Ann Walker, M.D.
• Alissa Blake Walruth, LMHC-D

• Pharmacist in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.