MRS. LISA KROENUNG WAGONER (NPI# 1609164060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609164060 |
| Entity Type | Individual |
| Full Name | MRS. LISA KROENUNG WAGONER |
| Credential | RPH |
| Practice Address |
2017 W Webb Ave Burlington NC 27217-1063 |
| Practice Telephone | 3362218861 |
| Mailing Telephone | 3362218861 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 09518 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720438963 | Lisa Carroll Wagoner | Registered Nurse | 5444 Fullerton Cir, Highlands Ranch, CO 80130-6642 | 2016-06-19 |
| 1821405952 | Lisa I Wagoner | Counselor | 905 Friedberg Church Rd, Winston Salem, NC 27127-9803 | 2014-07-21 |
| 1386903771 | Lisa Jane Wagoner | Case Manager/Care Coordinator | 316 Main St, Lake Village, AR 71653-1942 | 2012-05-07 |
| Street Address |
2017 W WEBB AVE |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184727869 | North Carolina Cvs Pharmacy LLC | Pharmacy | 2017 W Webb Ave, Burlington, NC 27217-1063 | 2006-09-07 |
| 1346849973 | Stephanie Harper | Pharmacist | 2017 W Webb Ave, Burlington, NC 27217-1063 | 2020-10-24 |
| 1205124476 | Autumn Leigh Huffines | Pharmacist | 2017 W Webb Ave, Burlington, NC 27215 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| 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 |
|---|---|---|---|---|
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1053962720 | Edlyn Hwang | Pharmacist | 41 Burlington Mall Rd Inpatient Central Pharmacy, Burlington, MA 01805-0001 | 2019-09-24 |
| 1962914267 | Kerri Koleen Nichols | Pharmacist | 210 S Pine St Ste 1, Burlington, WI 53105-1914 | 2017-10-27 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1326491556 | Kenneth Kausch | Pharmacist | 13 Borestone Ln, Burlington, VT 05408-1841 | 2016-07-23 |
| 1104292382 | Nancy Ann Huff | Pharmacist | Dept of Pharmacy 41 Mall Rd, Burlington, MA 01805-1011 | 2015-08-11 |
| 1366850257 | Brian Van Epps | Pharmacist | 158 Cherry St, Burlington, VT 05401-3818 | 2014-07-24 |
| 1811301484 | Crystal Lynn Dean-smith | Pharmacist | 2019 S Mebane St Apt A, Burlington, NC 27215-3902 | 2014-06-11 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
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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.