Eric Lee Wagman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP037156L Issued in PA

Practice address

403 S Oxford Valley Rd
Fairless Hills, PA 19030-4202

Phone

(215) 547-1700

Fax

(215) 547-1722

NPI assigned

Nov 13, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Oxford Valley Pharmacy Inc.

  • Pharmacy
  • Fairless Hills, PA
  • NPI 1487799482
  NPD (past)
• Reliant Care Solutions LP

  • Long Term Care Pharmacy
  • Feasterville Trevose, PA
  • NPI 1801208491
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1104428135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEVON RD",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142310",
            "telephone_number": "267-342-3613",
            "fax_number": "215-547-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304202",
            "telephone_number": "215-547-1700",
            "fax_number": "215-547-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGMAN",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP037156L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA PHARMACIST LICENSE",
            "identifier": "RP037156L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Trzesniowski
• USA Dental Care
• Richard J Usewicz
• V. Goswami, M.D., P.C.
• Visamo Home Health Care Agency
• Rachael Nicole Wagner
• Jacklyn Ward
• Joseph Ward, DO
• Miranda Watto
• Jaquelyn Rohui Yeh, M.D.

• Pharmacist in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.