Todd Wagner, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202009456 Issued in VA

Practice address

4408 W Hundred Rd
Chester, VA 23831-1738

Phone

(804) 748-2284

NPI assigned

Mar 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Eckerd Corporation

  dba Rite Aid Pharmacy 11268

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299369600000",
    "number": "1356649974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311738",
            "telephone_number": "804-748-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311738",
            "telephone_number": "804-748-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "TODD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-06",
        "last_updated": "2011-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009456",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "11668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Anesthesia Services LLC
• Christine Volkmer
• Sujatha P Vuyyuru, M.D.
• Chandra Waddy
• Susan Wade, MA, CCC-SLP
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1524)
• Wal-Mart Stores East, LP (Vision Center 30-1524)
• Walgreen Co (Walgreens #09226)
• April Walker, LPC
• Lauren-Leigh Elizabeth Walker, PHARM.D.

• Pharmacist in Chester, VA
• Providers in Chester, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; 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.