KENNETH JUDSON WAGG RPH
NPI 1194589622
Pharmacist - Ambulatory Care in Providence, RI

Active since February 06, 2024
117 CHAPMAN ST STE 200, PROVIDENCE, RI 02905(401) 444-9909(401) 444-4095 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Judson Wagg Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH JUDSON WAGG RPH (NPI 1194589622) is an individual ambulatory care provider in Providence, Rhode Island, licensed in Rhode Island (RPH06239) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1194589622
Entity TypeIndividualMale
Primary Taxonomy1835P2201X
Provider Legal NameKENNETH JUDSON WAGGCredential: RPH
Location Address117 CHAPMAN ST STE 200Providence, RI 02905-5400
Mailing Address117 Chapman St Ste 200Providence, RI 02905-5400 · (401) 444-9909 · Fax (401) 444-4095
Fax(401) 444-4095
Sole ProprietorNo
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
NPI 1194589622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License Licensed in RI · RPH06239
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
117 CHAPMAN ST STE 200, Providence, RI 02905

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Home Infusion
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Wagg's NPI number?

The NPI number for Kenneth Wagg is 1194589622. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Where is Kenneth Wagg located?

Kenneth Wagg practices at 117 Chapman St Ste 200, Providence, RI 02905. The listed phone number is (401) 444-9909.

What is Kenneth Wagg's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Kenneth Wagg was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.