Active NPI
Heather Wagner
- Pharmacist
- Manila, AR
National Provider Identifier
1528945987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD10357
- Practice address
- 3644 W State Highway 18
Manila, AR 72442-8049 - Phone
- (870) 561-1500
- NPI assigned
- Aug 18, 2025
- Last updated
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD10357 | AR | Primary |
Addresses
Primary practice location
3644 W State Highway 18
Manila, AR 72442-8049
Mailing address
PO Box 910
Manila, AR 72442-0910
Phone (870) 243-1442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10357 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & H Enterprises, Inc. | Current | Accepting new patients | |
| A & H Enterprises, Inc. | Current | Accepting new patients |
Locations
3644 W State Highway 18
Manila, AR 72442
Phone (870) 561-1500
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Manila, AR
- NPI 1346172152
-
- Long Term Care Pharmacy
- Wilson, AR
- NPI 1487572020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1528945987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910",
"city": "MANILA",
"state": "AR",
"postal_code": "724420910",
"telephone_number": "870-243-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3644 W STATE HIGHWAY 18",
"city": "MANILA",
"state": "AR",
"postal_code": "724428049",
"telephone_number": "870-561-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manila, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.