WAGNER'S MOUNT IDA PHARMACY
NPI 1215187455
Pharmacy - Long Term Care Pharmacy in Mount Ida, AR

Q: What is Wagner Drugs Inc's NPI number?

The NPI number for Wagner Drugs Inc is 1215187455. It was assigned to this organization in the NPPES registry on September 24, 2008. The provider is doing business as Wagner's Mount Ida Pharmacy.

Q: What is Wagner Drugs Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Q: When was this NPI record last updated?

The NPPES record for Wagner Drugs Inc was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 24, 2008CLIA 04D2138568 · Waiver

744 HIGHWAY 270 E, MOUNT IDA, AR 71957(870) 867-3174(870) 867-2033 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wagner's Mount Ida Pharmacy NPPES

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

WAGNER'S MOUNT IDA PHARMACY (NPI 1215187455) is a healthcare organization registered as a long term care pharmacy in Mount Ida, Arkansas and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Laura Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1215187455

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameWAGNER DRUGS INC

Location Address744 HIGHWAY 270 EMount Ida, AR 71957-8003

Mailing AddressPo Box 66Mount Ida, AR 71957-0066 · (870) 867-3174

Phone(870) 867-3174

Fax(870) 867-2033

Organization SubpartNo

Authorized OfficialLaura WagnerOwner · (870) 867-2812

Enumeration DateSeptember 24, 2008

Last NPPES UpdateJune 1, 2016

✔ NPI 1215187455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in AR · AR15934

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X

744 HIGHWAY 270 E, Mount Ida, AR 71957

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Other Names 1

Doing Business AsWagner's Mount Ida Pharmacy

Other Identifiers 2

Other2159831Pk

Medicaid168721407AR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2138568

Wagner's Mount Ida Pharmacy · Mount Ida, AR

Active · expires Oct 19, 2027

CLIA Number04D2138568

Laboratory TypePharmacy

Certificate Effective DateOctober 20, 2025

Certificate Expiration DateOctober 19, 2027

Laboratory DirectorMs. Laura Wagner

Laboratory Phone(870) 867-3174

Laboratory LocationWagner's Mount Ida Pharmacy744 Hwy 270east, Mount Ida, AR 71957

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LAUREN ALEXANDRA CARROLL PHARM. D

Pharmacist

744 HIGHWAY 270 E
MOUNT IDA, AR 71957

Montgomery County (870) 867-3174

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 Wagner Drugs Inc's NPI number?

The NPI number for Wagner Drugs Inc is 1215187455. It was assigned to this organization in the NPPES registry on September 24, 2008. The provider is doing business as Wagner's Mount Ida Pharmacy.

Where is Wagner Drugs Inc located?

Wagner Drugs Inc is located at 744 Highway 270 E, Mount Ida, AR 71957. The listed phone number is (870) 867-3174.

What is Wagner Drugs Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Wagner Drugs Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2138568) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wagner Drugs Inc was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.