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

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: July 19, 2026.

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

What is WAGNER DRUGS INC's NPI number?

The NPI number assigned to this healthcare provider is 1215187455, enumerated as an "organization" on September 24, 2008.

Where is the provider located?

The provider is located at 744 HIGHWAY 270 E MOUNT IDA, AR 71957 and the phone number is (870) 867-3174.

What is the provider's specialty?

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

What insurance does WAGNER DRUGS INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.