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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: August 09, 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 in Fort Myers Beach, Florida, licensed in Florida (PS29977) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1114562097
Entity TypeIndividualFemale
Primary Taxonomy183500000X
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
Phone(239) 340-7073
Sole ProprietorNo
Enumeration DateNovember 14, 2019
✔ NPI 1114562097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS29977
Definition
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, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
17105 SAN CARLOS BLVD, Fort Myers Beach, FL 33931
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELESTE HARGER
Technician/Technologist (Optician)
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Lee County (239) 340-7071
PENNY LEE RUSSELL LDO ABO NCLE
Technician/Technologist (Optician)
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Lee County (239) 340-7071
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Lee County (239) 340-7073
WAL-MART STORES EAST, LP
Eyewear Supplier
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Lee County (239) 340-7073
DR. ILLYA Y. NOVIKOV DOCTOR OF DENTISTRY
Dentist (General Practice)
17105 SAN CARLOS BLVD, SUITE B-3
FORT MYERS BEACH, FL 33931
Lee County (239) 466-2888
SYED MD PARVEZ
Pharmacist
17105 SAN CARLOS BLVD
FORT MYERS BEACH, FL 33931
Lee County (239) 340-7073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wagner's NPI number?

The NPI number for Nicole Wagner is 1114562097. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Nicole Wagner located?

Nicole Wagner practices at 17105 San Carlos Blvd, Fort Myers Beach, FL 33931. The listed phone number is (239) 340-7073.

What is Nicole Wagner's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Nicole Wagner was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.