Eagle Grove Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

829 Issued in IA

Legal business name

EAGLE GROVE PHARMACY INC

Doing business as

Eagle Pharmacy
Wagner Drug- Eagle Grove

Practice address

311 W Broadway St
Eagle Grove, IA 50533-1711

Phone

(515) 448-3814

Fax

(515) 448-5429

NPI assigned

Jul 22, 2006

Last updated

Oct 6, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew J Wagner, PHARMDNPI 1821584830

Title

Pharmacist in Charge

Phone

(515) 448-3814

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• EAGLE PHARMACY Doing business as
• Wagner Drug- Eagle Grove Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Tax ID family

Eagle Grove Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eagle Grove Pharmacy Inc

  • Long Term Care Pharmacy
  • Eagle Grove, IA
  • NPI 1215742754
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew J Wagner, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Eagle Grove, IA
  • NPI 1821584830
  NPD Authorized official
• Janet E B Bade, RPH

  • Pharmacist
  • Eagle Grove, IA
  • NPI 1205975950
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1316968373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W BROADWAY ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505331711",
            "telephone_number": "515-448-3814",
            "fax_number": "515-448-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W BROADWAY ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505331711",
            "telephone_number": "515-448-3814",
            "fax_number": "515-448-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE GROVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "515-448-3814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1614052",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196840",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wagner Drug- Eagle Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle Grove C.S.D.
• Eagle Grove Chiropractic PLC
• Eagle Grove Community School District
• Eagle Grove Family Dentistry PLC
• Eagle Grove Pharmacy Inc
• Charity A Hayes, ARNP
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine Eagle Grove)
• Sydney Irish, OTR
• Rebecca Mae Jensen, OTD, OTR/L, ATC
• Sarah Lentz

• Community/Retail Pharmacy in Eagle Grove, IA
• Providers in Eagle Grove, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.