Melissa Anne Wagner, DOCTOR OF PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS52184 Issued in FL

Practice address

6651 N Military TRL Ste 100
Boca Raton, FL 33496-2402

Phone

(561) 998-3747

Fax

(561) 998-3797

NPI assigned

Sep 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1194446906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 N MILITARY TRL STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962402",
            "telephone_number": "561-998-3747",
            "fax_number": "561-998-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 N MILITARY TRL STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962402",
            "telephone_number": "561-998-3747",
            "fax_number": "561-998-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W R Rosen Inc
• Caryn A Wachsler, PSYD
• Sherrie Wade, LMHC 3015
• Matthew R Waggoner, PT
• Amanda Wagner
• Sara Wahba, MD
• Mirna Antonieta Waidele, PA
• Daniel Jeremy Waintraub, M.D.
• Dolores Wainwright, MS CCC-SLP
• Ashley Waknine

• Pharmacist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.