DR. KELLY WAGNER


Address: 3360 Tittabawassee Rd, Saginaw, MI 48604-9453
Phone: 9892496033

DR. KELLY WAGNER (NPI# 1932510831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932510831
Entity Type Individual
Full Name DR. KELLY WAGNER
Credential PHARM.D
Practice Address 3360 Tittabawassee Rd
Saginaw
MI 48604-9453
Mailing Address 4094 W Crossings
Saginaw
MI 48603-8710
Practice Telephone 9892496033
Enumeration Date 2014-05-13
Last Update Date 2014-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
5302037176 MI Pharmacy Service Providers

Other Providers KELLY WAGNER

NPI Name Taxonomy Address Enumeration
1013570746 Kelly Susan Wagner Speech-Language Pathologist 8902 Old Harford Rd, Baltimore, MD 21234-2646 2019-04-18
1356808455 Kelly Mcmahon Wagner Social Worker 4701 Greenspring Ave, Baltimore, MD 21209-4704 2019-02-25
1659744316 Kelly Ann Wagner Nurse Practitioner 10410 Abercorn Expressway, Savannah, GA 31419 2015-11-03
1659612745 Kelly Ann Wagner Specialist 727 Carmen Dr, Norristown, PA 19401-3545 2013-03-14
1881925592 Kelly Danielle Wagner Physical Therapy Assistant 226 Fish Hall Rd, Brunswick, GA 31523-7405 2010-01-20
1407180268 Kelly Ann Wagner Licensed Practical Nurse 1143 Vogt Dr Apt 14, West Bend, WI 53095-5505 2009-09-28
1295288629 Kelly Wagner Dietitian, Registered 200 Hawkins Dr, Food and Nutrition Services, W146 Gh, Iowa City, IA 52242-1009 2016-08-02
1154776334 Kelly Wagner Student in an Organized Health Care Education/Training Program 100 High St, C 378, Buffalo, NY 14203-1126 2016-04-26
1346613205 Kelly Wagner Naturopath 185 Tilley Dr, Suite #51, South Burlington, VT 05403-4484 2015-11-01
1235562307 Kelly Anne Wagner Speech-Language Pathologist 331 E Park St, Weiser, ID 83672-2053 2013-08-13

Office Location

Street Address 3360 TITTABAWASSEE RD
City SAGINAW
State MI
Zip Code 48604-9453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144360694 Meijer Inc Durable Medical Equipment & Medical Supplies 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2007-02-07
1457969594 Travis Ommodt Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2020-07-15
1881126597 Covenant Medical Center, Inc Clinic/Center 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2017-03-31
1750742185 Carolyn Eggerd Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2016-03-12
1407264757 Andrew Aylsworth Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604 2014-07-31
1548671795 Raghavendra Makam Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2014-05-09
1063822534 Diane Lynette Garbe Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2014-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366090318 Paulette Marie Giltrop Technician 2930 Eddy St, Saginaw, MI 48604 2019-09-03
1821419797 Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc Clinic/Center 4685 E. Mcleod Dr., Saginaw, MI 48604 2013-12-19
1245508811 Universal Health Group, Inc Chiropractor 4700 East Mcleod, Saginaw, MI 48604 2011-12-09
1982980751 Vivid Idea Rehab Home Health 2101 West Stoker Dr, Saginaw, MI 48604 2011-10-25
1518266683 Rashad H Leflore Driver 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 2011-03-15
1033392089 Raquel N. Dorin Physical Therapist 2716 Liberty, Saginaw, MI 48604 2007-12-13
1760604854 Matthew Thomas Kisabeth Optometrist 5650 Bay Road, Saginaw, MI 48604 2007-05-02
1861613556 Loretta O'donnell Pathology 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 2007-05-01
1265652325 Tracey M Mallek Physical Therapist 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 2007-04-30
1588783062 Harprabhjit Singh Internal Medicine 4680 Mcleod Dr E., Saginaw, MI 48604 2007-03-28
Find all providers in zip 48604

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437141603 Marilyn Sue Kamp Pharmacist 1500 Weiss St, (traverse City Va Outpatient Clinic), Saginaw, MI 48602-5251 2005-08-16
1457969594 Travis Ommodt Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2020-07-15
1598388613 Jacqueline White-neslund Pharmacist 800 S Washington Ave, Saginaw, MI 48601-2551 2020-05-22
1881249969 Tyler Mitchell Reid Pharmacist 8400 Gratiot Rd, Saginaw, MI 48609-4804 2019-08-06
1548671795 Raghavendra Makam Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2014-05-09
1467862722 Dale Wayne Caverly Pharmacist 8400 Gratiot Rd, Saginaw, MI 48609-4804 2014-05-07
1063822534 Diane Lynette Garbe Pharmacist 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 2014-05-05
1326458183 Bryan Cook Pharmacist 8400 Gratiot Rd, Saginaw, MI 48609-4804 2014-05-02
1255429163 Paul Thill Pharmacist 700 Cooper Ave, 2nd Floor Pharmacy, Saginaw, MI 48602-5383 2006-10-10
1669566618 Beth A Boyce Pharmacist 1500 Weiss St, Saginaw, MI 48602-5251 2006-10-03
Find all providers in SAGINAW

Competitor

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City SAGINAW
Zip Code 48604

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Dataset Information

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.

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