RICHARD WAGONER
NPI 1912359019
Pharmacist in Mount Olive, NC

Active since July 13, 2016
1019 N BREAZEALE AVE, MOUNT OLIVE, NC 28365(919) 658-2554 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Wagoner NPPES

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

RICHARD WAGONER (NPI 1912359019) is an individual pharmacist in Mount Olive, North Carolina, licensed in North Carolina (26001) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1912359019
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameRICHARD WAGONER
Location Address1019 N BREAZEALE AVEMount Olive, NC 28365-1105
Mailing Address2937 Lowell DrBurlington, NC 27217-6071
Sole ProprietorNo
Enumeration DateJuly 13, 2016
NPI 1912359019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NC · 26001
Definition
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.
1019 N BREAZEALE AVE, Mount Olive, NC 28365

Other Providers at the Same Location NPPES

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

Pharmacist
1019 N BREAZEALE AVE
MOUNT OLIVE, NC 28365

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 Richard Wagoner's NPI number?

The NPI number for Richard Wagoner is 1912359019. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Richard Wagoner located?

Richard Wagoner practices at 1019 N Breazeale Ave, Mount Olive, NC 28365. The listed phone number is (919) 658-2554.

What is Richard Wagoner's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Richard Wagoner was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.