Wagner Drug Corporation

Primary specialty

PharmacistTaxonomy code 183500000X

License

24978 Issued in CA

Legal business name

WAGNER DRUG CORPORATION

Practice address

1106 Orange Ave
Coronado, CA 92118-3407

Phone

(619) 435-4171

Fax

(619) 435-1926

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Lanier Wagner, RPH

Title

President

Phone

(619) 435-4171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Drug Doing business as

Tax ID family

Cal-Med United Drugs2 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.

• Cal-Med United Drugs

  • Community/Retail Pharmacy
  • La Mesa, CA
  • NPI 1972539195
  NPD tax ID

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1497969414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183407",
            "telephone_number": "619-435-4171",
            "fax_number": "619-435-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183407",
            "telephone_number": "619-435-4171",
            "fax_number": "619-435-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER DRUG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LANIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-435-4171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "24978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY46037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ventura Heath Care Inc
• Melanie Villalobos, DMD
• Felicia Villaroman, PHARM.D.
• Diane Villegas, ACAGNP-BC
• Vipeak PC
• Elizabeth Wagner, RD, CCN
• Luke Andrew Wagner, SOIDC
• Jennifer Waidelich, DPT
• Walgreen Co
• William M Wansa, MD

• Pharmacist in Coronado, CA
• Providers in Coronado, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.