MATTHEW JAMES WAGNER (NPI# 1235613738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235613738 |
| Entity Type | Individual |
| Full Name | MATTHEW JAMES WAGNER |
| Practice Address |
17213 Cole Rd Hagerstown MD 21740-6981 |
| Practice Telephone | 3015829183 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202216947 | VA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 25826 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1538534334 | Matthew Wagner | Acupuncturist | 4513 Vernon Blvd, Madison, WI 53705-4993 | 2015-12-04 |
| 1053749168 | Matthew Wagner | Counselor | 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 | 2013-10-29 |
| 1114198751 | Matthew Robert Wagner | Orthopaedic Surgery | 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 | 2008-03-21 |
| 1700415965 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1376177048 | Matthew Gary Wagner | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-03-02 |
| 1164918199 | Matthew Steven Wagner | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-07-02 |
| 1609371244 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2018-03-26 |
| 1669994752 | Matthew Wagner | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2017-07-11 |
| 1174973432 | Matthew Wagner | Peer Specialist | 190 Match Factory Pl, Bellefonte, PA 16823-1367 | 2016-06-17 |
| Street Address |
17213 COLE RD |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-6981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881616548 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2006-07-24 |
| 1194115683 | Rabbia Harris | Pharmacy Technician | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2015-02-04 |
| 1821488412 | Linda Alverson | Pharmacy Technician | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2015-02-03 |
| 1184014771 | Heather Witmer | Pharmacy Technician | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2015-02-03 |
| 1851781652 | Jordan Mccarney | Pharmacy Technician | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2015-01-31 |
| 1205120201 | Dara Lenore Nardini | Pharmacist | 17213 Cole Rd, T-1257, Hagerstown, MD 21740-6981 | 2011-06-07 |
| 1134413271 | Daniel Mullenix | Pharmacist | 17213 Cole Rd, T-1257, Hagerstown, MD 21740-6981 | 2011-06-07 |
| 1093009235 | Stephanie Marie Senft | Pharmacist | 17213 Cole Rd, T-1257, Hagerstown, MD 21740-6981 | 2011-06-06 |
| 1932412780 | Dhruvi N Patel | Optometrist | 17213 Cole Rd, Ste 17233, Hagerstown, MD 21740-6981 | 2010-07-22 |
| 1629143086 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699189118 | Santander Bornacelly | Pharmacist | 580 Wesel Blvd, Hagerstown, MD 21740 | 2014-06-12 |
| 1366855256 | Lori Barnes | Pharmacist | 1580 Wesel Blvd., Cvs Pharmacy #5650, Hagerstown, MD 21740 | 2014-06-09 |
| 1629350046 | Melanie Paff | Pharmacist | 11110 Medical Campus Rd Ste 105, Hagerstown, MD 21742-6734 | 2011-09-12 |
| 1164738050 | Stalin Krishnan | Pharmacist | 825 W Hillcrest Rd, Hagerstown, MD 21742-3105 | 2010-08-30 |
| 1992963938 | Dawn Tracey Medina | Pharmacist | 12817 Shank Farm Way, Hagerstown, MD 21742 | 2008-05-27 |
| 1487700977 | Nicole N Prum | Pharmacist | 13424 Pennsylvania Ave Ste 102, Hagerstown, MD 21742-2685 | 2007-01-26 |
| 1871588343 | David Michael Russo | Pharmacist | 25 N Cannon Ave, Russo's Rx, Hagerstown, MD 21740-4918 | 2005-09-12 |
| 1376144709 | Hao Michelle Wu | Pharmacist | 10420 Walmart Dr, Hagerstown, MD 21740-5790 | 2020-11-03 |
| 1235739418 | Stephanie Best | Pharmacist | 17850 Garland Groh Blvd, Hagerstown, MD 21740-1944 | 2020-10-28 |
| 1376143735 | Kelli Ashby | Pharmacist | 17850 Garland Groh Blvd, Hagerstown, MD 21740-1944 | 2020-10-27 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.