Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Simon B Van Wagenen, RPH
Pharmacist in Starke, FL · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790816072
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Registry record
Entity type Individual (Type 1)
Name Mr. Simon B Van Wagenen
Credential RPH
Sex Male
Practice address 470 W Madison St, Starke, FL, 32091
Phone (904) 964-6759
Fax (904) 964-5315
Enumeration date Mar 8, 2007
Last updated in NPPES Jul 9, 2007
Taxonomy & licenses
RPH · Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy.
About the RPH credential
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
What is the NPI number for Simon Van Wagenen?
The National Provider Identifier (NPI) for Simon Van Wagenen is 1790816072, a Type 1 (individual) record in the CMS NPPES registry.
Where does Simon Van Wagenen practice?
The practice location on file with NPPES is in Starke, FL. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.