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WAGNER PHARMACY
NPI 1356356927
Pharmacist in Aledo, IL

Active since July 30, 2006
108 N COLLEGE AVE, ALEDO, IL 61231(309) 582-5678(309) 582-5679 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wagner Pharmacy NPPES

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

WAGNER PHARMACY (NPI 1356356927) is a healthcare organization registered as a pharmacist in Aledo, Illinois and active in the NPI registry since July 2006. The organization lists Gary R Wagner, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1356356927
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWAGNER PHARMACY
Location Address108 N COLLEGE AVEAledo, IL 61231-1519
Mailing Address108 N College AveAledo, IL 61231-1519 · (309) 582-5678 · Fax (309) 582-5679
Phone(309) 582-5678
Fax(309) 582-5679
Organization SubpartNo
Authorized OfficialGary R WagnerPharmacist · (309) 582-5678
Enumeration DateJuly 30, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1356356927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
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.
108 N COLLEGE AVE, Aledo, IL 61231
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Other Identifiers 2

Medicaid=========001IL
Medicare NSC0432600001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Pharmacy's NPI number?

The NPI number for Wagner Pharmacy is 1356356927. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Wagner Pharmacy located?

Wagner Pharmacy is located at 108 N College Ave, Aledo, IL 61231. The listed phone number is (309) 582-5678.

What is Wagner Pharmacy'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 Wagner Pharmacy was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.