Active NPIIndividual provider

Wyley Agamenoni

Pharmacist in Eugene, Oregon

NPI Number1164898946
Practice location
2815 Chad Dr, Eugene, OR 97408-7335
Fax
—
Last updated
July 11, 2016

Wyley Agamenoni is a Pharmacist based in Eugene, OR. Wyley Agamenoni practices in Eugene, OR. The NPI Number for Wyley Agamenoni is 1164898946 and holds a License No. 0014824 (OR). The current practice location address for Wyley Agamenoni is 2815 Chad Dr, Eugene, OR 97408-7335 and can be reached out via phone at 541-686-0094.

Provider Profile Details

NPI Number
1164898946
Provider Name
Wyley Agamenoni
Provider Entity Type
Individual
Gender
Male
Address
2815 Chad Dr, Eugene, OR 97408-7335
Phone Number
541-686-0094
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2015
Last Update Date
July 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2815 Chad Dr
Eugene, OR 97408-7335
City
Eugene
State
Oregon
Zip
97408-7335
Phone Number
541-686-0094
Eugene, OR 97408Get directions →

Provider Business Mailing Address Details

Address
2815 Chad Dr
Eugene, OR 97408-7335
City
Eugene
State
OR
Zip
97408-7335
Phone Number
541-686-0094

License Information

License Number (1)
0014824
License State (1)
OR
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
0014824
License State (2)
OR

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wyley Agamenoni?

The NPI number of Wyley Agamenoni is 1164898946. It was assigned on August 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Wyley Agamenoni?

Wyley Agamenoni is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in OR under license number 0014824.

Where does Wyley Agamenoni practice?

The practice location is 2815 Chad Dr, Eugene, OR 97408-7335. The office can be reached at 541-686-0094 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164898946 directly on the NPPES registry website.

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