Active NPI
Barbar Amalia Colaianni-Wagner
- Pharmacist
- Gallup, NM
National Provider Identifier
1043597719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15066
- Practice address
- 1870 E Highway 66
Gallup, NM 87301-4955 - Phone
- (702) 275-9011
- NPI assigned
- Nov 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15066 | NV | Primary |
Addresses
Primary practice location
1870 E Highway 66
Gallup, NM 87301-4955
Mailing address
300 E Hill Ave
Gallup, NM 87301-6155
Phone (702) 275-9011
Other names 1
- Barbara Colaianni-Wagner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15066 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1043597719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E HILL AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873016155",
"telephone_number": "702-275-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 E HIGHWAY 66",
"city": "GALLUP",
"state": "NM",
"postal_code": "873014955",
"telephone_number": "702-275-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLAIANNI-WAGNER",
"first_name": "BARBAR",
"middle_name": "AMALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "COLAIANNI-WAGNER",
"credential": "PHARMACY",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.