Active NPI
Karen Marlene Wagner
- Pharmacist
- Hays, KS
National Provider Identifier
1316441991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11550
- Practice address
- 2220 Canterbury Dr
Hays, KS 67601-2370 - Phone
- (785) 623-5850
- NPI assigned
- Mar 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11550 | KS | Primary |
Addresses
Primary practice location
2220 Canterbury Dr
Hays, KS 67601-2370
Mailing address
2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-5850
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 |
|---|---|---|---|
| 11550 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1316441991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 CANTERBURY DR",
"city": "HAYS",
"state": "KS",
"postal_code": "676012370",
"telephone_number": "785-623-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 CANTERBURY DR",
"city": "HAYS",
"state": "KS",
"postal_code": "676012370",
"telephone_number": "785-623-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "KAREN",
"middle_name": "MARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "11550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.