Zach Wagner
Individual provider Active NPI Pharmacotherapy Pharmacist · Moville, IA
NPI 1306495049 · NPPES record last updated Sep 5, 2019
Key facts
- NPI
- 1306495049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 6509 (IA)
- Practice address
- 528 S 3Rd St
Moville, IA 51039-2009 - Phone
- (712) 873-3401
- NPI assigned
- Sep 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Past |
Accepting new patients | |
| Sanford Health Network | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 6509 | IA | Yes |
Addresses
Primary practice location
528 S 3Rd St
Moville, IA 51039-2009
Mailing address
528 S 3Rd St
Moville, IA 51039-2009
Phone (712) 873-3401
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Moville |
Other providers in Moville, IA
- Moville Ambulance and Rescue Squad
- Moville Pharmacy Inc
- Ashley Lynn Pollema
- Sanford Health Network
- Vision Care Clinic PC
- Woodbury Central CSD
All providers in Moville, IA · Pharmacotherapy Pharmacist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.