ROBERT WAGONBLOTT (NPI# 1700296472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700296472 |
Entity Type | Individual |
Full Name | ROBERT WAGONBLOTT |
Practice Address |
8000 E Broad St Reynoldsburg OH 43068-8032 |
Mailing Address |
7749 Burkey Dr 8000 E Broad Street Reynoldsburg OH 43068-2619 |
Practice Telephone | 6143227433 |
Practice Fax Number | 6143227433 |
Mailing Telephone | 6143227433 |
Mailing Fax Number | 6143227465 |
Enumeration Date | 2014-05-05 |
Last Update Date | 2014-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
03209278 | OH | Pharmacy Service Providers |
Street Address |
8000 E BROAD ST |
City | REYNOLDSBURG |
State | OH |
Zip Code | 43068-8032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497819486 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 8000 E Broad St, Reynoldsburg, OH 43068-8000 | 2006-12-21 |
1588076590 | William Banks | Pharmacist | 8000 E Broad St, Reynoldsburg, OH 43068-8032 | 2014-05-24 |
1326460957 | Richard Mason | Pharmacist | 8000 E Broad St, Reynoldsburg, OH 43068-8032 | 2014-01-16 |
1871915538 | Monica Summers | Pharmacist | 8000 E Broad St, Reynoldsburg, OH 43068-8032 | 2014-01-15 |
1871514943 | Us Vision Optical Inc | Technician/Technologist | 8000 E Broad St, Reynoldsburg, OH 43068-8000 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
Find all providers in zip 43068 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902461122 | Jeannine Eileen Hart | Pharmacist | 300 Parktrail Ln, Cincinnati, OH 45238-6289 | 2019-05-02 |
1366006157 | Jamie Eckardt | Pharmacist | 9500 Euclid Ave # Hb-82, Cleveland, OH 44195-0001 | 2019-04-26 |
1255841987 | Michael Militello | Pharmacist | 9500 Euclid Ave # Hb105, Cleveland, OH 44195-0001 | 2017-10-09 |
1396260345 | Melissa Ann Herschman | Pharmacist | 4180 Warrensville Rd Bldg 5th, Beachwood, OH 44122-7024 | 2017-08-11 |
1346781218 | Jarett Szczepanski | Pharmacist | 410 West Tenth Avenue, 368 Doan Hall, Ohio State University Medical Center Pharmacy, Columbus, OH 43210 | 2017-03-13 |
1366802373 | Jennifer Pierpont | Pharmacist | 81 Brevoort Rd, Columbus, OH 43214-3823 | 2016-03-03 |
1053721720 | Daniel Nowak | Pharmacist | 7340 W Central Ave, Toledo, OH 43617-1121 | 2014-05-05 |
1962833541 | Willard Walter Johnson Jr. | Pharmacist | 4284 Boy Scout Rd Ne, Dover, OH 44622-7529 | 2013-12-06 |
1689003337 | Benjamin Leo Grilliot | Pharmacist | 233 Grant St, Troy, OH 45373-3117 | 2013-11-04 |
1033547211 | Kingsford Asare | Pharmacist | 8344 Sea Mist Ct, West Chester, OH 45069-9252 | 2013-10-24 |
Find all providers with the same taxonomy |
City | REYNOLDSBURG |
Zip Code | 43068 |
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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.