Active NPI
Sarah Wagner
- Pharmacist
- Annapolis, MD
National Provider Identifier
1831560648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23514
- Practice address
- 975 Bay Ridge Rd
Annapolis, MD 21403-3934 - Phone
- (410) 268-7688
- NPI assigned
- Oct 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23514 | MD | Primary |
| Pharmacist | 183500000X | RP450115 | PA |
Addresses
Primary practice location
975 Bay Ridge Rd
Annapolis, MD 21403-3934
Mailing address
1903 Towne Centre Blvd
#239
Annapolis, MD 21401-3179
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23514 | MD | MD | Clinical Social Worker |
| RP450115 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1831560648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 TOWNE CENTRE BLVD",
"address_2": "#239",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 BAY RIDGE RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033934",
"telephone_number": "410-268-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23514",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP450115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.