Mr Simon B Van Wagenen, RPH - Pharmacist in Starke, FL

Mr Simon B Van Wagenen, RPH is a Pharmacist based in Starke, Florida. Mr Simon B Van Wagenen is licensed to practice in Florida (license number PS16532) and his current practice location is 470 W Madison St, Starke, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 964-6759.

NPI number for Mr Simon B Van Wagenen is 1790816072 and his current mailing address is 15604 Sw 161st St, Brooker, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790816072.

Contact Information

Mr Simon B Van Wagenen, RPH
470 W Madison St,
Starke, FL 32091-3926
(904) 964-6759
(904) 964-5315

Map and Direction


Healthcare Provider's Profile

Full NameMr Simon B Van Wagenen
GenderMale
SpecialityPharmacist
Location470 W Madison St, Starke, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790816072
  • Provider Enumeration Date: 03/08/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Simon B Van Wagenen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790816072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PS16532 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Simon B Van Wagenen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Simon B Van Wagenen, RPH
15604 Sw 161st St,
Brooker, FL 32622-2540

Ph: (904) 449-3937
Mr Simon B Van Wagenen, RPH
470 W Madison St,
Starke, FL 32091-3926

Ph: (904) 964-6759

Reviews and Comments


Pharmacist in Starke, FL

Tiffany Jade Harris Fraser, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14500 Us Highway 301 S, Starke, FL 32091
Phone: 904-964-3290    
Matthew Douglas, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14500 Us Highway 301 S, Starke, FL 32091
Phone: 904-964-3290    
Dr. Tracy Allen Abbott,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 395 W Madison St, Starke, FL 32091
Phone: 904-964-7774    Fax: 904-964-7807
William Shallcross,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 922 E Call St, Starke, FL 32091
Phone: 904-368-2340    
Sunil Choudary Paladugu,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 470 W Madison St., Starke, FL 32091
Phone: 904-964-8823    
Mr. Gregory Astle,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 470 W Madison St, Starke, FL 32091
Phone: 904-964-6757    
Jaqueisha R Williams, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 205 W Madison St, Starke, FL 32091
Phone: 904-964-2389    Fax: 904-964-2389

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.