Jeffrey Frank Wagner, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS25376 Issued in FL

Practice address

6310 Health Park Way Ste 130
Lakewood Ranch, FL 34202-5177

Phone

(941) 907-1500

Fax

(941) 907-1544

NPI assigned

Feb 26, 2019

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

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.

• JK Services of Sarasota LLC

  • Community/Retail Pharmacy
  • Lakewood Ranch, FL
  • NPI 1275772915
  NPD (past)
• Sunshine Rheumatology and Arthritis Center LLC

  • Rheumatology Physician
  • Sun City Center, FL
  • NPI 1770071433
  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1881151876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY STE 130",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-907-1500",
            "fax_number": "941-907-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY STE 130",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-907-1500",
            "fax_number": "941-907-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JEFFREY",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS25376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Vinagre
• Vivek V Kumar DO LLC
• Carol A Vogel, L.M.T.
• Julionn Volcy
• Felicia A Wagman, M.D.
• Mary Abigail Wagner, LMHC
• Melanie Janette Wahl, MD
• Walgreen Co
• Walgreen Co
• Lindsey Walsh, DPT

• Pharmacist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.