Angela Marie Pagorek, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

046174 Issued in NY

Practice address

5399 W Genesee St
Camillus, NY 13031-2265

Phone

(315) 487-6714

NPI assigned

Oct 27, 2007

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

Other names 1

• Angela Marie Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351296000000",
    "number": "1083893903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312265",
            "telephone_number": "315-487-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312265",
            "telephone_number": "315-487-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGOREK",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2012-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LEWIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Lynn Olrich, FNP
• Mark A. Paciorek, DDS, MS, PC
• Stefanie Pack-Campbell, LPN
• Jessica Lynn Pagan, MS, LMHC, NCC
• David Thurber Page, MD
• Ana Maria Paniagua, LCSW
• Kelly S. Parisi, CCC/SLP
• Bruce Dale Parker, DDS
• Kimberly Ann Parker
• Lydia Faith Parker, RDN

• Pharmacist in Camillus, NY
• Providers in Camillus, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2012; 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.