MR. STEVEN LYLE WAGNER
NPI 1679460778
Pharmacist in Washington Park, IL

Active since June 20, 2025
1833 KINGSHIGHWAY, WASHINGTON PARK, IL 62204(618) 874-3000(618) 674-3103 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Steven Lyle Wagner NPPES

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

MR. STEVEN LYLE WAGNER (NPI 1679460778) is an individual pharmacist in Washington Park, Illinois, licensed in Illinois (051031829) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1679460778
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. STEVEN LYLE WAGNER
Location Address1833 KINGSHIGHWAYWashington Park, IL 62204
Mailing Address1833 KingshighwayEast Saint Louis, IL 62204-2135 · (618) 874-3000 · Fax (618) 674-3103
Fax(618) 674-3103
Sole ProprietorYes
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
NPI 1679460778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051031829
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.
1833 KINGSHIGHWAY, Washington Park, IL 62204

Other Providers at the Same Location NPPES 4

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

Pharmacist
1833 KINGSHIGHWAY
EAST SAINT LOUIS, IL 62204
Pharmacist
1833 KINGSHIGHWAY, SUITE 200
WASHINGTON PARK, IL 62204
Pharmacy (Community/Retail Pharmacy)
1833 KINGSHIGHWAY
WASHINGTON PARK, IL 62204
Pharmacist
1833 KINGSHIGHWAY, SUITE 100
WASHINGTON PARK, IL 62204

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 Steven Wagner's NPI number?

The NPI number for Steven Wagner is 1679460778. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Steven Wagner located?

Steven Wagner practices at 1833 Kingshighway, Washington Park, IL 62204. The listed phone number is (618) 874-3000.

What is Steven 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 Steven Wagner was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.