Samantha Nicole Wagner, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

058182 Issued in NY

Practice address

98 Veterans Memorial Hwy
Commack, NY 11725-3432

Phone

(631) 462-8975

NPI assigned

Aug 1, 2013

Last updated

Feb 6, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1356773378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHARI LN",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 VETERANS MEMORIAL HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253432",
            "telephone_number": "631-462-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Voorhees
• Sharon Vosefski, RN
• Sylvera Cuerpo Voskamp, PT
• Brian Wade, L.C.S.W
• Keri Jean Wagner, N.P.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5202)
• Wal-Mart Stores East, LP (Vision Center 30-5202)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #09865)
• John Walker, ASAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.