Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Judson Wagg, RPH

Individual provider Ambulatory Care Pharmacist · NPI 1194589622

Kenneth Judson Wagg, RPH is an Ambulatory Care Pharmacist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2024.

Licensed in
RI
In the registry since
2024
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

117 Chapman St Ste 200
Providence, RI 02905-5400
Phone: (401) 444-9909
Fax: (401) 444-4095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence RPH06239 (RI)

Record details

NPI number1194589622
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address117 Chapman St Ste 200, Providence, RI 02905-5400

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