Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1891807111 Deactivated / Inactive NPI Male Practitioner

Richard Marvin Wagner , RPH02

Pharmacist • Tavares, FL

⚠️

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, Richard Wagner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date April 24, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Richard Wagner, RPH02 was a registered Pharmacist practicing in Tavares, FL. Throughout an active medical career spanning 19 years, Richard Wagner provided care at the practice location at 450 E BURLEIGH BLVD until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

450 E Burleigh Blvd

Tavares, FL 327785257

Telephone 3523436436
Fax 3523437064

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tavares, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Tavares, FL (19926 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 FL PS0029657

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

3 Associated Practitioners
Michelle Stone

Pharmacist

NPI 1043601446
NPI 1336248889

Registered Pharmacist

NPI 1821488719

Registered Pharmacist

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 450 E BURLEIGH BLVD, TAVARES, FL 327785257 (Tel: 3523436436)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1900 PARK FOREST BLVD, MOUNT DORA, FL 327576919 (Tel: 3527354765)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RICHARD WAGNER, R.PH02

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pharmacist (License #PS0029657 in FL)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Richard Wagner. Be the first to share your experience!

Sign in to leave a review for Richard Wagner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1891807111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 09, 2007
Deactivation Date: April 24, 2025

Mailing Address

1900 Park Forest Blvd

Mount Dora, FL 327576919

Phone: 3527354765

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.