Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Kelley Childress Wagoner, PHARM.D., R.PH.
Pharmacist in Beaufort, NC · enumerated 2009.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1568799039
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Registry record
Entity type Individual (Type 1)
Name Dr. Kelley Childress Wagoner
Credential PHARM.D., R.PH.
Sex Female
Practice address 708 Highway 70 East, Otway, Beaufort, NC, 28516
Phone (252) 838-1540
Fax (252) 838-1545
Enumeration date Nov 4, 2009
Last updated in NPPES Mar 7, 2014
Taxonomy & licenses
PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy.
About the PHARMD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165515 | Medicaid | NC | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Kelley Wagoner practice?
The practice location on file with NPPES is in Beaufort, NC. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kelley Wagoner?
The National Provider Identifier (NPI) for Kelley Wagoner is 1568799039, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-03-07.