Andrew Wagner, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16837 Issued in AL

Practice address

4295 County Road 12
Lafayette, AL 36862-5209

Phone

(334) 332-1661

NPI assigned

Nov 16, 2011

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2011.

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1992072151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 COUNTY ROAD 12",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368625209",
            "telephone_number": "334-332-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 COUNTY ROAD 12",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368625209",
            "telephone_number": "334-332-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANDREW",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Alabama
• Kelly A Tucker, MCD, CCC-SLP
• Vester Health Center LLC
• Al Vester, M.D.
• Terry Yvonne Vester, M.D.

• All providers in Lafayette, AL
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.