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Active NPI 1740794007 Individual Practitioner Female Practitioner

Elizabeth Wagoner , DPH

Pharmacist • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Elizabeth Wagoner, DPH is a registered healthcare professional specializing in Pharmacist in Edmond, OK. Practice services are available at 1301 N SANTA FE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 N Santa Fe Ave

Edmond, OK 730033673

Telephone 4053400522
Associated Practice Facility / Clinic
🏢 Oklahoma Cvs Pharmacy Llc Facility NPI 1760586598

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Edmond, OK

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

Practicing in Edmond, OK (3455 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 OK 10611

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

4 Associated Practitioners
NPI 1043816721

Doctor of Pharmacy (Pharm.D.)

NPI 1639421779

Doctor of Pharmacy (Pharm.D.)

Jeremiah Holt

Pharmacist

NPI 1831814169
Dr. Haleh Haghparvar , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1871196741

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2017

Registered at 1301 N SANTA FE AVE, EDMOND, OK 730033673 (Tel: 4053400522)

📍
Updated Business Mailing Address November 24, 2017

Registered at 4200 SHILOH LN, EDMOND, OK 730346904

👤
Provider Name / Credentials Updated November 24, 2017

Recorded as ELIZABETH WAGONER, DPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2017

Pharmacist (License #10611 in OK)

🟢
Initial NPI Registration & Enumeration November 24, 2017

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: 1740794007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2017
Last Update: November 24, 2017
Sole Proprietor: No

Mailing Address

4200 Shiloh Ln

Edmond, OK 730346904

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.