IndividualActive
Kelley Wagoner, PHARM.D., R.PH.
NPI 1568799039 · Pharmacist · Beaufort, NC
Kelley Wagoner, PHARM.D., R.PH. is a Pharmacist provider in Beaufort, NC (NPI 1568799039).
Provider details
- NPI number
- 1568799039
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D., R.PH.
- Sex
- Female
- Sole proprietor
- No
- License
- 13866 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
708 Highway 70 East
Otway
Beaufort, NC 28516-7273
Phone: (252) 838-1540
Fax: (252) 838-1545
Street-level locationGet directions
Mailing address
708 Highway 70 East Otway
Beaufort, NC 28516
Registry dates
- Enumerated
- 2009-11-04
- Last updated
- 2014-03-07
Frequently asked questions
- What is Kelley Wagoner's NPI number?
- Kelley Wagoner's National Provider Identifier (NPI) is 1568799039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelley Wagoner's specialty?
- Kelley Wagoner is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kelley Wagoner located?
- Kelley Wagoner's practice location on file with NPPES is 708 Highway 70 East, Beaufort, NC 28516-7273.
- What is Kelley Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Kelley Wagoner is (252) 838-1540.
- Is Kelley Wagoner's NPI active?
- Yes — Kelley Wagoner's NPI (1568799039) is active in the NPPES registry as of the last update on 2014-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.