Ross M Wagner, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03295300 Issued in NJ

Practice address

38-42 Main St
Sussex, NJ 07461-2331

Phone

(973) 875-4141

Fax

(973) 875-0529

NPI assigned

Feb 21, 2012

Sex

Male

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

Practice roles

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.

• American RX LLC

  • Specialty Pharmacy
  • Millville, NJ
  • NPI 1316806888
  NPD Authorized official
• Bridgeton RX Inc

  • Community/Retail Pharmacy
  • Bridgeton, NJ
  • NPI 1417693110
  NPD Authorized official
• Bridgeton RX Inc

  • Long Term Care Pharmacy
  • Bridgeton, NJ
  • NPI 1467311936
  NPD Authorized official
• Baker Pharmacy Inc.

  • Community/Retail Pharmacy
  • Sussex, NJ
  • NPI 1730102732
  NPD (past)
• Baker Pharmacy Inc.

  • Long Term Care Pharmacy
  • Sussex, NJ
  • NPI 1760294938
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1801169933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 JORDAN DR",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074221034",
            "telephone_number": "973-387-5322",
            "fax_number": "973-875-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38-42 MAIN ST",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074612331",
            "telephone_number": "973-875-4141",
            "fax_number": "973-875-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ROSS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03295300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsee Jean Tironi, COTA/L
• James Trapanese, LPC
• Theresa Vandergroef
• Linda Carol Vickery, MD
• Adriane Villanueva, LPC
• Walgreen Co
• Wantage Physical Rehabilitation LLC
• Wantage Township First Aid Squad
• James Philip Warner, LPC
• Willowglen Academy - New Jersey. Inc.

• Pharmacist in Sussex, NJ
• Providers in Sussex, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.