MARY WAGONER
NPI 1205590106
Pharmacist in Tempe, AZ

Active since October 26, 2021
1870 W RIO SALADO PKWY, TEMPE, AZ 85281(480) 567-9083 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Wagoner NPPES

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

MARY WAGONER (NPI 1205590106) is an individual pharmacist in Tempe, Arizona, licensed in Arizona (S020178) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1205590106
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARY WAGONER
Location Address1870 W RIO SALADO PKWYTempe, AZ 85281-2695
Mailing Address1870 W Rio Salado PkwyTempe, AZ 85281-2695
Sole ProprietorYes
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 11, 2021
NPI 1205590106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S020178
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.
1870 W RIO SALADO PKWY, Tempe, AZ 85281

Other Providers at the Same Location NPPES 2

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

Pharmacist
1870 W RIO SALADO PKWY
TEMPE, AZ 85281
Counselor (Mental Health)
1870 W RIO SALADO PKWY
TEMPE, AZ 85281

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 Mary Wagoner's NPI number?

The NPI number for Mary Wagoner is 1205590106. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Mary Wagoner located?

Mary Wagoner practices at 1870 W Rio Salado Pkwy, Tempe, AZ 85281. The listed phone number is (480) 567-9083.

What is Mary Wagoner'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 Mary Wagoner was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.