Lawrence A Wagner, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

2013005453 Issued in MO

Practice address

4320 Wornall Rd Ste 128
Kansas City, MO 64111-5949

Phone

(816) 932-2688

Fax

(816) 932-8126

NPI assigned

Feb 10, 2021

Last updated

Feb 22, 2021By the provider in NPPES

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

Locations

Interoperability endpoints

• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Lukes Hospital of Kansas City

  dba Saint Lukes Hospital Pharmacy

  • Pharmacy
  • Kansas City, MO
  • NPI 1134566409
  NPD
• St Lukes Hospital of Kansas City

  dba Sant Luke's Specialty Pharmacy

  • Specialty Pharmacy
  • Kansas City, MO
  • NPI 1588457923
  NPD (past)
• Saint Lukes South Hospital Inc

  dba SLS Mission Farms Pharmacy

  • Pharmacy
  • Overland Park, KS
  • NPI 1972043271
  NPD (past)

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1386236222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 128",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115949",
            "telephone_number": "816-932-2688",
            "fax_number": "816-932-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 128",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115949",
            "telephone_number": "816-932-2688",
            "fax_number": "816-932-8126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4061 Indian Creek Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662074030",
            "country_code": "US",
            "telephone_number": "913-323-4780",
            "fax_number": "913-323-4778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12300 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131324",
            "country_code": "US",
            "telephone_number": "913-317-7604",
            "fax_number": "913-317-7597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "10995",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2013005453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Michael Wagner, DO
• Elizabeth Wagner
• Eulan Wagner, RN
• Falon Wagner
• Jonathan B Wagner, DO
• Matthias Heinrich Wagner, D.C.
• Monica Lynn Wagner, MD
• Asher Wagnon
• Megan Wagoner, PTA
• Alyson Wahaus, LPC

• Pharmacist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.