JUSTIN WAGNER
NPI 1245647700
Pharmacist in Gallup, NM

Active since July 16, 2014
1650 W MALONEY AVE, GALLUP, NM 87301(505) 722-3823 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Wagner NPPES

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

JUSTIN WAGNER (NPI 1245647700) is an individual pharmacist in Gallup, New Mexico, licensed in New Mexico (RP00007923) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1245647700
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJUSTIN WAGNER
Location Address1650 W MALONEY AVEGallup, NM 87301-3305
Mailing Address1650 W Maloney AveGallup, NM 87301-3305 · (505) 722-3823
Sole ProprietorNo
Enumeration DateJuly 16, 2014
NPI 1245647700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in NM · RP00007923 Licensed in NV · 13889 Licensed in IA · 18855
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.
1650 W MALONEY AVE, Gallup, NM 87301

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
1650 W MALONEY AVE
GALLUP, NM 87301
Pharmacy (Community/Retail Pharmacy)
1650 W MALONEY AVE
GALLUP, NM 87301
Eyewear Supplier
1650 W MALONEY AVE
GALLUP, NM 87301

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 Justin Wagner's NPI number?

The NPI number for Justin Wagner is 1245647700. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Justin Wagner located?

Justin Wagner practices at 1650 W Maloney Ave, Gallup, NM 87301. The listed phone number is (505) 722-3823.

What is Justin 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 Justin Wagner was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.