Norma Linda Wagner, RPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

051040790 Issued in IL

Practice address

13460 S Rte 59
Plainfield, IL 60585-5270

Phone

(815) 577-2616

Fax

(815) 577-2618

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Drug Stores LLC

  dba Osco Drug #1190

  • Community/Retail Pharmacy
  • Plainfield, IL
  • NPI 1629024302
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1366623555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 SOUTH RT 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-577-2616",
            "fax_number": "815-577-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 S RTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855270",
            "telephone_number": "815-577-2616",
            "fax_number": "815-577-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "NORMA",
        "middle_name": "LINDA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "051040790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly K Voorhees, LCPC
• Alexandra Marie Vosburgh
• Voyage Express Transportation LLC
• Taryn Ann Vrasich, CPNP-PC
• Alexa Wagner, SLP
• Adam Wahby
• Wal-Mart Stores, Inc (Vision Center 30-5038)
• Brianna Michelle Walczak, MSW
• Elizabeth Walder, MS
• Walgreen Co (Walgreens #04828)

• Pharmacotherapy Pharmacist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Pharmacotherapy Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.