Benjamin William Martin Wagner, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

3-107100 Issued in KS

Practice address

7739 State Ave
Kansas City, KS 66112-2819

Phone

(913) 788-8168

NPI assigned

Sep 6, 2022

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.

• Walgreen Co

  • Pharmacy
  • Kansas City, KS
  • NPI 1033124250
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1932820248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 JEFFERSON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141730",
            "telephone_number": "316-613-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122819",
            "telephone_number": "913-788-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BENJAMIN",
        "middle_name": "WILLIAM MARTIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "3-107100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie K Vu, MD
• Stacy Vucich, APN
• John Joseph Waddell II, MD
• Melanie Wade, N.P.
• Peggy Ellen Waggoner, MA
• Gerit Wagner
• Jessie Wagner, DO
• Leigh Elizabeth Wagner, RD, LD
• Joseph Wahl, DO
• Lisa Marie Wainscott, OTR/L, CLT, CDP

• Pharmacist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.