WAGNER DRUGS, INC. (NPI# 1619326881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619326881 |
| Entity Type | Organization |
| Organization Name | WAGNER DRUGS, INC. |
| Other Organization Name | WAGNER'S MOUNT IDA PHARMACY |
| Practice Address |
744 Hwy 270 East Mount Ida AR 71957 |
| Mailing Address |
Po Box 66 Mount Ida AR 71957-0066 |
| Practice Telephone | 8708672812 |
| Mailing Telephone | 4792436169 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | LAURA LYNN WAGNER (OWNER) |
| Authorized Official Telephone | 8708672812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
AR15934 | AR | Suppliers |
| Other Name | Type Code |
|---|---|
| WAGNER'S MOUNT IDA PHARMACY | Doing Business As Name - Organization |
| Street Address |
744 HWY 270 EAST |
| City | MOUNT IDA |
| State | AR |
| Zip Code | 71957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255891578 | Laura Lynn Wagner | Pharmacist | 744 Hwy 270 East, Mount Ida, AR 71957 | 2019-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245699636 | Seeking Serenity Holistic Therapy Center | Social Worker | 506 Hwy 270 E, Mt.ida, AR 71957 | 2016-02-15 |
| 1518368562 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 136 S George Street, Mt Ida, AR 71957 | 2014-09-09 |
| 1306276217 | Compleat Rehab and Sports Therapy Center(satellite Branch)of Jordan Pt | Physical Therapist | 135 South East Street, Mt.ida, AR 71957 | 2013-11-14 |
| 1265871370 | Barbara E Page | Veterinarian | 317 North George St, Mount Ida, AR 71957 | 2013-06-21 |
| 1609079102 | Cynthia Jean Crowson | Social Worker | 506 Highway 270 East, Mt. Ida, AR 71957 | 2007-06-11 |
| 1124229794 | David P Hochstedler | Physical Therapist | 741 South Dr, Mt. Ida, AR 71957 | 2007-05-30 |
| 1386864791 | Samantha Dawn Ashford | Physical Therapy Assistant | 741 S Drive, Mount Ida, AR 71957 | 2007-04-26 |
| 1396964557 | Jerry Daniel Mullin | Skilled Nursing Facility | 741 South Drive, Mt. Ida, AR 71957 | 2007-04-25 |
| 1861585002 | City Drug and Soda Fountain | Durable Medical Equipment & Medical Supplies | 121 W S West Street, Mount Ida, AR 71957 | 2006-10-02 |
| 1659381705 | State of Arkansas | Home Health | 346 Luzerne, Montgomery County Health Unit, Mount Ida, AR 71957 | 2006-08-09 |
| Find all providers in zip 71957 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841715 | Village Apothecary Inc | Pharmacy | 24615 Highway 5, Lonsdale, AR 72087-8017 | 2019-09-23 |
| 1104484971 | Austin Gilbreath | Pharmacy | 970d Ash Flat Dr, Ash Flat, AR 72513-9533 | 2019-06-05 |
| 1295291441 | Health Depot Pharmacies, LLC | Pharmacy | 1610 Fort St, Barling, AR 72923-2018 | 2019-02-13 |
| 1417458829 | Paragon Pharmacy, LLC | Pharmacy | 14524 Cantrell Rd Ste 100a, Little Rock, AR 72223-4700 | 2018-02-22 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1215349667 | Midsouth Medical Specialties, LLC | Pharmacy | 5500 Central Avenue, Hot Springs, AR 71913 | 2014-05-20 |
| 1942645569 | Warmack Pharmacies,inc. | Pharmacy | 300 Pine Street, Rison, AR 71665 | 2013-05-09 |
| 1588972418 | Allied Health Services LLC | Pharmacy | 600 N Main St Ste C, Melbourne, AR 72556-0769 | 2010-09-14 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| 1457473647 | W.p.malone Inc | Pharmacy | 624 Clay St, Arkadelphia, AR 71923-6026 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.