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

Shane R Wagner, PHARMD

Individual provider Pharmacist · NPI 1922627132

Shane R Wagner, PHARMD is a Pharmacist in Beverly, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

501 Dietz Ln
Beverly, OH 45715
Phone: (740) 984-2305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 03232855 (OH)

Record details

NPI number1922627132
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address717 Mitchell Ave, Beverly, OH 45715-8942

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