Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelley Childress Wagoner, PHARMD, RPH

Individual provider Pharmacist · NPI 1568799039

Dr. Kelley Childress Wagoner, PHARMD, RPH is a Pharmacist in Beaufort, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

708 Highway 70 East Otway
Beaufort, NC 28516-7273
Phone: (252) 838-1540
Fax: (252) 838-1545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13866 (NC)

Record details

NPI number1568799039
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD , RPH
Sole proprietorNo
NPI enumeratedNovember 4, 2009
Last updated in NPPESMarch 7, 2014

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