Megan M Wagnon, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

4411 Issued in WY

Practice address

1708 Dell Range Blvd
Cheyenne, WY 82009-4945

Phone

(307) 829-3118

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CVS Pharmacy Inc

  dba CVS Pharmacy #17923

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1033831433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 LAWRENCE LN UNIT B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093762",
            "telephone_number": "307-760-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094945",
            "telephone_number": "307-829-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNON",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1708 Dell Range Blvd",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820094945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaunda Lyn Waddle, CSFA
• Ron W Waeckerlin, M.D.
• Anne S Wagner, LCSW
• Kelsey Leigh Wagner, PA
• Philip L Wagner, MD
• Brock Wahlert
• Danielle Wakelin, OTR/L
• Wal-Mart Srores Inc (Walmart Vision Center 30-4653)
• Wal-Mart Stores, Inc. (Vision Center 30-1315)
• Jason Lawrence Walck, PHARM.D.

• Pharmacist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.