Provider Demographics
NPI:1396789541
Name:NAGEL, ANGELA K (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:K
Last Name:NAGEL
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 CULVER RD
Mailing Address - Street 2:CULVER MEDICAL GROUP
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-7141
Mailing Address - Country:US
Mailing Address - Phone:585-654-5432
Mailing Address - Fax:
Practice Address - Street 1:913 CULVER RD
Practice Address - Street 2:CULVER MEDICAL GROUP
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-7141
Practice Address - Country:US
Practice Address - Phone:585-654-5432
Practice Address - Fax:585-654-5432
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046911183500000X
NYI0469111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist