1. Home
  2. Directory
  3. Illinois
  4. Wauconda
  5. Pharmacy
  6. NPI Profile

WAUCONDA PHARMACY INC
NPI 1831274513
Pharmacy - Compounding Pharmacy in Wauconda, IL

Active since October 25, 2006
222 S MAIN ST, WAUCONDA, IL 60084(847) 526-2591(847) 526-1598 Get Directions Write a Review

NPPES record last updated: November 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wauconda Pharmacy Inc NPPES

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

WAUCONDA PHARMACY INC (NPI 1831274513) is a healthcare organization registered as a compounding pharmacy in Wauconda, Illinois and active in the NPI registry since October 2006. The organization lists Terry Bruner, Owner, as its authorized official.

NPPES Registry Identity

NPI1831274513
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameWAUCONDA PHARMACY INC
Location Address222 S MAIN STWauconda, IL 60084-1828
Mailing Address222 S Main StWauconda, IL 60084-1828
Phone(847) 526-2591
Fax(847) 526-1598
Organization SubpartNo
Authorized OfficialTerry BrunerOwner · (847) 526-2591
Enumeration DateOctober 25, 2006
Last NPPES UpdateNovember 7, 2011
✔ NPI 1831274513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in IL · 054006291
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
222 S MAIN ST, Wauconda, IL 60084
Open in Google Maps ↗

Other Identifiers 5

Medicare NSC1259900001IL
OtherIL3147IL · Medicare Part B
Other1428196Other Id Number
Other1428196IL · Bcbs Pharmacy
Medicaid362686883001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

MRS. ANGELA BETH TOBLER R.PH.
Pharmacist
222 S MAIN ST
WAUCONDA, IL 60084
Lake County (847) 526-2591
MR. TERRY J BRUNER R.PH.
Pharmacist
222 S MAIN ST
WAUCONDA, IL 60084
Lake County (847) 526-2591
WAUCONDA PHARMACY, INC.
Durable Medical Equipment & Medical Supplies
222 S MAIN ST
WAUCONDA, IL 60084
Lake County (847) 526-2591
ALISON VAN DEN HEUVEL PHARMD
Pharmacist
222 S MAIN ST
WAUCONDA, IL 60084
Lake County (847) 526-2591

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 Wauconda Pharmacy Inc's NPI number?

The NPI number for Wauconda Pharmacy Inc is 1831274513. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Wauconda Pharmacy Inc located?

Wauconda Pharmacy Inc is located at 222 S Main St, Wauconda, IL 60084. The listed phone number is (847) 526-2591.

What is Wauconda Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Wauconda Pharmacy Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Wauconda Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wauconda Pharmacy Inc was last updated on November 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.