MRS. MARY ELAINE WAGNER (NPI# 1720361033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720361033 |
Entity Type | Individual |
Full Name | MRS. MARY ELAINE WAGNER |
Other Name | MISS MARY ELAINE GANT |
Credential | RPH |
Practice Address |
1364 Westdale Ave Winter Park FL 32792-6059 |
Practice Telephone | 3214397229 |
Practice Fax Number | 4076570267 |
Mailing Telephone | 3214397229 |
Mailing Fax Number | 4076570267 |
Enumeration Date | 2011-09-22 |
Last Update Date | 2011-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS22749 | FL | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | PHARMACIST LICENSE NUMBER | PS22749 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336753185 | Mary Elizabeth Wagner | Registered Nurse | 1804 Connemara Ln, Lafayette, IN 47905-7935 | 2020-08-31 |
1730462755 | Mary E Wagner | Durable Medical Equipment & Medical Supplies | 2549 Odaniel Rd, Seguin, TX 78155-1240 | 2011-09-26 |
1669622049 | Mary Ellen Wagner | Speech-Language Pathologist | 8437 Northcote Ave, Munster, IN 46321-2023 | 2008-09-23 |
1518050731 | Mary Abigail Wagner | Counselor | 5569 Broadcast Ct, Lakewood Ranch, FL 34240-8472 | 2006-10-02 |
1043251358 | Mary Jo Wagner | Occupational Therapist | 54 Parramatta Rd, Beverly, MA 01915-1970 | 2006-06-09 |
1427040203 | Mary K. Wagner | Pediatrics | 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216-1092 | 2005-08-18 |
1497397616 | Mary Beth Wagner | Massage Therapist | 1400 Executive Pkwy Ste 220, Eugene, OR 97401-7109 | 2019-10-09 |
1144702606 | Mary Wagner | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2018-08-31 |
1902329394 | Mary Elizabeth Wagner | Speech-Language Pathologist | 525 W Oakland Ave, Johnson City, TN 37604-1672 | 2017-07-18 |
1558896233 | Mary A. Wagner | Registered Nurse | 6460 Harrison Ave, Cincinnati, OH 45247 | 2017-05-01 |
Street Address |
1364 WESTDALE AVE |
City | WINTER PARK |
State | FL |
Zip Code | 32792-6059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
Find all providers in zip 32792 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740571827 | Michael W Johnson | Pharmacist | 306 S Park Ave, Winter Park, FL 32789-4318 | 2011-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
Find all providers with the same taxonomy |
City | WINTER PARK |
Zip Code | 32792 |
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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.