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Deactivated NPI 1659559557 Deactivated / Inactive NPI Male Practitioner

Eugene Robert Wagner , RPH

Pharmacist • Tuba City, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eugene Wagner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 04, 2008
NPI Deactivation Date February 01, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Eugene Wagner, RPH was a registered Pharmacist practicing in Tuba City, AZ. Throughout an active medical career spanning 15 years, Eugene Wagner provided care at the practice location at 169 N MAIN until profile deactivation on 2023-02-01.

Practice Location & Contact Primary Location

Practice Address

169 N Main
Tuba City Regional Healthcare Corporation

Tuba City, AZ 86045

Telephone 9282832754
Fax 9282832758

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tuba City, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
74 Specialists

Practicing in Tuba City, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 113110

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1013225986

Doctor of Pharmacy (Pharm.D.)

NPI 1033432661

Doctor of Pharmacy (Pharm.D.)

NPI 1063716686

Doctor of Pharmacy (Pharm.D.)

NPI 1073825279

Doctor of Pharmacy (Pharm.D.)

NPI 1114215092

Doctor of Pharmacy (Pharm.D.)

Casey Moore

Pharmacist

NPI 1205458080

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2022

Pharmacist (License #113110 in MN)

NPI Profile Active February 04, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2008

Registered at 169 N MAIN, TUBA CITY REGIONAL HEALTHCARE CORPORATION, TUBA CITY, AZ 86045 (Tel: 9282832754)

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Updated Business Mailing Address February 04, 2008

Registered at 169 N MAIN, PO BOX 600 TUBA CITY REGIONAL HEALTHCARE CORPORATION, TUBA CITY, AZ 86045 (Tel: 9282832754)

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Provider Name / Credentials Updated February 04, 2008

Recorded as EUGENE WAGNER, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2008

Pharmacist (License #113110 in MN)

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Initial NPI Registration & Enumeration February 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659559557
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2008
Last Update: February 04, 2008
Deactivation Date: February 01, 2023

Mailing Address

169 N Main, Po Box 600 Tuba City Regional Healthcare Corporation

Tuba City, AZ 86045

Phone: 9282832754

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.