Wagner Chemists, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WAGNER CHEMISTS, INC.

Doing business as

Wagner Pharmacy

Practice address

1726 N 2ND St
Clinton, IA 52732-2645

Phone

(563) 242-9376

Fax

(563) 242-1497

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Saibabu Appalaneni

Title

President

Phone

(563) 242-9376

Specialties & licenses 1

Addresses

Other names 1

• Wagner Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wagner Chemists, Inc.

  dba Wagner Pharmacy

  • Community/Retail Pharmacy
  • Clinton, IA
  • NPI 1497349047

  8628485513

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wagner Chemists, Inc.

  dba Wagner Pharmacy

  • Community/Retail Pharmacy
  • Clinton, IA
  • NPI 1497349047

  O20210319001077, O20210322000268

  Same enrollment

Tax ID family

Wagner Chemists 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.

• Wagner Chemists, Inc.

  dba Wagner Pharmacy

  • Community/Retail Pharmacy
  • Clinton, IA
  • NPI 1497349047
  NPD tax ID

Locations

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1487248035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 N 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322645",
            "telephone_number": "845-705-8241",
            "fax_number": "563-242-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 N 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322645",
            "telephone_number": "563-242-9376",
            "fax_number": "563-242-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER CHEMISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "SAIBABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-242-9376"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagner Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virdi Eye Clinic of Iowa
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• Stephen Wayne Vorheis, DDS
• Sheila Voss, BA
• Wagner Chemists, Inc. (Wagner Pharmacy)
• Karen Wagner
• Wal-Mart Stores, Inc. (Vision Center 30-2889)
• Walgreen Co (Walgreens #05144)
• Walgreen Co (Walgreens #05119)

• Long Term Care Pharmacy in Clinton, IA
• Providers in Clinton, IA by specialty
• Long Term Care Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.