Active NPI
Heather Wagner, RPH
- Pharmacist
- Plainfield, IN
National Provider Identifier
1053429415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26017900A
- Practice address
- 2002 Stafford Rd
Plainfield, IN 46168-2167 - Phone
- (317) 839-6561
- Fax
- (317) 839-6781
- NPI assigned
- Aug 27, 2006
- Last updated
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26017900A | IN | Primary |
| Pharmacist | 183500000X | PS39176 | FL |
Addresses
Primary practice location
2002 Stafford Rd
Plainfield, IN 46168-2167
Mailing address
2002 Stafford Rd
Plainfield, IN 46168-2167
Phone (317) 839-6561
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS39176 | FL | MD | Pharmacist |
| 26017900A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1053429415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 STAFFORD RD",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682167",
"telephone_number": "317-839-6561",
"fax_number": "317-839-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 STAFFORD RD",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682167",
"telephone_number": "317-839-6561",
"fax_number": "317-839-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "HEATHER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26017900A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS39176",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
- Volunteers of America of Indiana, Inc
- Volunteers of America of Indiana, Inc
- Skylar Volz, RBT
- Servilia Augustina Voss, O.D.
- Elizabeth A Vulanich, DPM
- Aishat Wahab
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0828)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-6470)
- Wal-Mart Stores East, LP (Vision Center 30-0828)
- Walgreen Co (Walgreens #05562)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.