MR. JOHN HERBERT WAGNER R. PH.
NPI 1235524075
Pharmacist in Racine, WI

Active since March 30, 2015
3900 ERIE ST, RACINE, WI 53402(262) 639-1611(262) 639-5611 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John Herbert Wagner R. Ph. NPPES

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

MR. JOHN HERBERT WAGNER R. PH. (NPI 1235524075) is an individual pharmacist in Racine, Wisconsin, licensed in Wisconsin (8002-40) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1235524075
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JOHN HERBERT WAGNERCredential: R. PH.
Location Address3900 ERIE STRacine, WI 53402-3544
Mailing Address3900 Erie StRacine, WI 53402-3544 · (262) 639-1611 · Fax (262) 639-5611
Fax(262) 639-5611
Sole ProprietorNo
Enumeration DateMarch 30, 2015
NPI 1235524075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 8002-40
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.
3900 ERIE ST, Racine, WI 53402

Other Identifiers 1

Other1225062441WI · Npi

Other Providers at the Same Location NPPES 3

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

Pharmacist
3900 ERIE ST
RACINE, WI 53402
Pharmacy
3900 ERIE ST, SUITE 100
RACINE, WI 53402
Pharmacist
3900 ERIE ST
RACINE, WI 53402

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 John Wagner's NPI number?

The NPI number for John Wagner is 1235524075. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is John Wagner located?

John Wagner practices at 3900 Erie St, Racine, WI 53402. The listed phone number is (262) 639-1611.

What is John 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 John Wagner was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.