NICOLE KRISTIN WAGNER RPH
NPI 1114562097
Pharmacist in Fort Myers Beach, FL

Active since November 14, 2019
17105 SAN CARLOS BLVD, FORT MYERS BEACH, FL 33931(239) 340-7073 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Kristin Wagner Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE KRISTIN WAGNER RPH (NPI 1114562097) is an individual pharmacist provider in Fort Myers Beach, Florida, licensed in Florida (PS29977) and active in the NPI registry since November 2019.Information from the official NPPES registry record, last updated November 14, 2019.

NPPES Registry Identity

NPI1114562097
Entity TypeIndividualFemale
Provider Legal NameNICOLE KRISTIN WAGNERCredential: RPH
Location Address17105 SAN CARLOS BLVDFort Myers Beach, FL 33931-5305
Mailing Address17105 San Carlos BlvdFort Myers Beach, FL 33931-5305 · (239) 340-7073
Sole ProprietorNo
Enumeration DateNovember 14, 2019
NPI 1114562097 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacist

Taxonomy 183500000X · Pharmacy Service Providers

Licensed in FL · PS29977

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment,… Show more

17105 SAN CARLOS BLVD, Fort Myers Beach, FL 33931

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
17105 SAN CARLOS BLVD, SUITE B-3
FORT MYERS BEACH, FL 33931
Eyewear Supplier
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Pharmacist
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Technician/Technologist (Optician)
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Technician/Technologist (Optician)
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Pharmacy (Community/Retail Pharmacy)
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114562097, enumerated as an "individual" on November 14, 2019.

The provider is located at 17105 SAN CARLOS BLVD FORT MYERS BEACH, FL 33931 and the phone number is (239) 340-7073.

Pharmacist with taxonomy code 183500000X.