EMILY WAGNER (NPI# 1962874529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962874529 |
| Entity Type | Individual |
| Full Name | EMILY WAGNER |
| Practice Address |
1008 Lake Murray Blvd Irmo SC 29063-2821 |
| Practice Telephone | 8037493843 |
| Mailing Telephone | 8037493843 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36392 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095830 | Emily Freilich Wagner | Dietitian, Registered | 5229 Annunciation St, New Orleans, LA 70115-1815 | 2017-07-10 |
| 1750759213 | Emily Wagner | Marriage & Family Therapist | 14947 Santa Lucia Dr, Charlotte, NC 28277-3382 | 2015-09-14 |
| 1821333485 | Emily Marie Wagner | Speech-Language Pathologist | 3823 N Southport Ave, #2, Chicago, IL 60613-5933 | 2012-12-06 |
| 1881843761 | Emily Fennell Wagner | Physical Therapist | 11301 Amherst Ave Ste 102, Silver Spring, MD 20902-4665 | 2008-09-16 |
| 1881206480 | Emily Marie Wagner | Pharmacist | 8681 W 135th St, Overland Park, KS 66223-1215 | 2020-08-17 |
| 1245875582 | Emily Wagner | Behavior Technician | 16970 Chandler Rd, East Lansing, MI 48823-6101 | 2019-11-11 |
| 1891255469 | Emily Wagner | Behavior Technician | 18685 Main St Ste 101-459, Huntington Beach, CA 92648-1723 | 2019-03-20 |
| 1811471709 | Emily E Wagner | Nurse Practitioner | 2626 Haymaker Rd Fl 2, Monroeville, PA 15146-3516 | 2018-09-18 |
| 1194206243 | Emily Grace Wagner | Developmental Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2018-08-27 |
| 1063901213 | Emily Wagner | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2018-05-03 |
| Street Address |
1008 LAKE MURRAY BLVD |
| City | IRMO |
| State | SC |
| Zip Code | 29063-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868267 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2006-09-07 |
| 1609382597 | Kimberly D. Irwin | Nurse Practitioner | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2017-12-14 |
| 1528415403 | Chelsea Eisenhower Driver | Nurse Practitioner | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2016-05-19 |
| 1366811754 | Cameo Aleece Green | Nurse Practitioner | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2015-09-16 |
| 1235505975 | Andrew Gialanella | Pharmacist | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2015-08-17 |
| 1013318401 | Quynh Dao | Pharmacist | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2014-09-04 |
| 1306254917 | Laura Outlaw | Pharmacist | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2014-07-27 |
| 1881934263 | Erin Mays Shealy | Nurse Practitioner | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2013-02-22 |
| 1518217173 | Emily King | Pharmacist | 1008 Lake Murray Blvd, Irmo, SC 29063 | 2012-09-11 |
| 1679822753 | Christie C Metz | Pharmacist | 1008 Lake Murray Blvd, Irmo, SC 29063 | 2012-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| 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 |
|---|---|---|---|---|
| 1629680871 | Amy Tucci | Pharmacist | 214 Torrington Rd, Irmo, SC 29063-2618 | 2020-08-19 |
| 1205211901 | Thomas M. Ginty | Pharmacist | 1600 Marina Rd Unit 306b, Irmo, SC 29063-6907 | 2015-07-22 |
| 1932506367 | Jeffery Bachman | Pharmacist | 5 Crystal View Ct, Irmo, SC 29063-7605 | 2014-12-01 |
| 1821419029 | Heather Diebold | Pharmacist | 109 Clouser Dr, Irmo, SC 29063-8006 | 2013-12-16 |
| 1649520230 | Hope Mottel Jordan | Pharmacist | 7338 Broad River Road, Irmo, SC 29063 | 2012-09-12 |
| 1730438821 | Walter Marshall Mckinney | Pharmacist | 1008 Lake Murray Blvd., Irmo, SC 29063 | 2012-09-05 |
| 1265712707 | Kevin L Potts | Pharmacist | 1345b Lake Murray Blvd, Irmo, SC 29063-2839 | 2011-08-27 |
| 1437441177 | Hunter Robertson Free | Pharmacist | 200 Friarsgate Plaza, Irmo, SC 29063 | 2011-05-13 |
| 1720385875 | Tommie Davis Ladeau | Pharmacist | 2 Palmetto Wood Pkwy Ste 100, Irmo, SC 29063-2881 | 2011-02-24 |
| 1255638425 | James Austin Stroman | Pharmacist | 1250 Dutch Fork Rd, Irmo, SC 29063-8824 | 2011-02-23 |
| Find all providers in IRMO | ||||
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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.