Active NPI
Katherine F O Wagers, PHARMD
- Pharmacist
- Jamestown, TN
National Provider Identifier
1417675133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46670
- Practice address
- 346 W Central Ave
Jamestown, TN 38556-3407 - Phone
- (931) 879-8133
- NPI assigned
- Aug 18, 2022
- 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 | 46670 | TN | Primary |
Addresses
Primary practice location
346 W Central Ave
Jamestown, TN 38556-3407
Mailing address
194 Looper Branch LN
Monterey, TN 38574-5610
Phone (423) 429-1458
Other names 1
- Dr. Katie F O Wagers
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46670 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchheit Drug Corporation | Current | Accepting new patients | |
| Buchheit Drug Corporation | Pharmacist | Past | Accepting new patients |
Locations
346 Central Ave W
Jamestown, TN 38556
Phone (931) 879-8133
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- Jamestown, TN
- NPI 1730714585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1417675133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 LOOPER BRANCH LN",
"city": "MONTEREY",
"state": "TN",
"postal_code": "385745610",
"telephone_number": "423-429-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 W CENTRAL AVE",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385563407",
"telephone_number": "931-879-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGERS",
"first_name": "KATHERINE",
"middle_name": "F O",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "46670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "WAGERS",
"middle_name": "F O",
"prefix": "DR.",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jamestown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.