Individual provider Active NPI

Wagdy Nagiub, RPH

  • Pharmacist
  • Niagara Falls, NY
National Provider Identifier
1679896005
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053691 Issued in NY
Practice address
3909 Witmer Rd # 452
Niagara Falls, NY 14305-1239
Phone
(908) 415-9751
NPI assigned
Mar 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053691 NY Primary
Pharmacist 183500000X 28RI03125800 NJ

Addresses

Primary practice location

3909 Witmer Rd # 452
Niagara Falls, NY 14305-1239

Mailing address

3909 Witmer Rd # 452
Niagara Falls, NY 14305-1239
Phone (908) 415-9751

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI03125800NJMDPharmacist
053691NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1679896005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WITMER RD # 452",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051239",
            "telephone_number": "908-415-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 WITMER RD # 452",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051239",
            "telephone_number": "908-415-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGIUB",
        "first_name": "WAGDY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053691",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03125800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.