DR. BRIAN LEE WAGONER PHARM D.
NPI 1609165752
Pharmacist in Midwest City, OK

Active since March 29, 2011
1605 MARK WOOD ST, MIDWEST CITY, OK 73130(405) 605-9956 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Lee Wagoner Pharm D. NPPES

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

DR. BRIAN LEE WAGONER PHARM D. (NPI 1609165752) is an individual pharmacist in Midwest City, Oklahoma, licensed in Oklahoma (14782) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1609165752
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. BRIAN LEE WAGONERCredential: PHARM D.
Location Address1605 MARK WOOD STMidwest City, OK 73130-8454
Mailing Address1605 Mark Wood StMidwest City, OK 73130-8454 · (405) 605-9956
Sole ProprietorYes
Enumeration DateMarch 29, 2011
NPI 1609165752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OK · 14782
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.
1605 MARK WOOD ST, Midwest City, OK 73130

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 Brian Wagoner's NPI number?

The NPI number for Brian Wagoner is 1609165752. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Brian Wagoner located?

Brian Wagoner practices at 1605 Mark Wood St, Midwest City, OK 73130. The listed phone number is (405) 605-9956.

What is Brian Wagoner'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 Brian Wagoner was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.