Dawn Bagley, RPH
Individual provider Active NPI Pharmacist · Easton, MD
NPI 1629472006 · NPPES record last updated Oct 14, 2014
Key facts
- NPI
- 1629472006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13906 (MD)
- Practice address
- 8174 Ocean Gtwy
Easton, MD 21601-7144 - Phone
- (410) 763-6907
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13906 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13906 | MD | Yes |
Addresses
Primary practice location
8174 Ocean Gtwy
Easton, MD 21601-7144
Mailing address
8174 Ocean Gtwy
Easton, MD 21601-7144
Phone (410) 763-6907
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.