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Deactivated NPI 1043563323 Deactivated / Inactive NPI Male Practitioner

Dr. Eric Michael Wagner , PharmD

Pharmacist • Dillon, MT

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

Registration / Start Date October 23, 2012
NPI Deactivation Date December 23, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Eric Wagner, PharmD was a registered Pharmacist practicing in Dillon, MT. Throughout an active medical career spanning 7 years, Dr. Wagner provided care at the practice location at 110 SOUTHSIDE BLVD until profile deactivation on 2019-12-23.

Practice Location & Contact Primary Location

Practice Address

110 Southside Blvd

Dillon, MT 597253536

Telephone 4069887121
Associated Practice Facility / Clinic
🏢 Vans Iga Of Dillon Inc Facility NPI 1073853941

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Dillon, MT

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

Practicing in Dillon, MT (1110 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 MT 15331

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

1 Associated Practitioners
Bonnie Rebish

Pharmacist

NPI 1285034306

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 23, 2019

Record deactivated on December 23, 2019

NPI Profile Active October 04, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 04, 2014

Registered at 110 SOUTHSIDE BLVD, DILLON, MT 597253536 (Tel: 4069887121)

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Updated Business Mailing Address October 04, 2014

Registered at 202 FERN LN, DILLON, MT 597258201 (Tel: 4066907748)

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Provider Name / Credentials Updated October 04, 2014

Recorded as ERIC WAGNER, PHARM.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2014

Pharmacist (License #15331 in MT)

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Initial NPI Registration & Enumeration October 23, 2012

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: 1043563323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2012
Last Update: October 04, 2014
Deactivation Date: December 23, 2019

Mailing Address

202 Fern Ln

Dillon, MT 597258201

Phone: 4066907748

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.