Andrew J Wagner, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

23170 Issued in IA

Practice address

311 W Broadway St
Eagle Grove, IA 50533-1711

Phone

(515) 448-3814

NPI assigned

Jul 3, 2018

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Eagle Grove Pharmacy Inc

  • Long Term Care Pharmacy
  • Eagle Grove, IA
  • NPI 1215742754
  NPD Authorized official
• Eagle Grove Pharmacy Inc

  dba Eagle Pharmacy

  • Community/Retail Pharmacy
  • Eagle Grove, IA
  • NPI 1316968373
  NPD Authorized official
• Elizabeth-S Pharmacy on Main Inc

  dba Elizabeth's Pharmacy on Main

  • Community/Retail Pharmacy
  • Britt, IA
  • NPI 1972948727
  NPD Authorized official

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1821584830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 SW 1ST ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505331910",
            "telephone_number": "515-851-2421"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IA",
            "license": "23170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin R Smith, MD
• Trimark Physicians Group (UnityPoint Clinic)
• Trimark Physicians Group Inc (Trimark Physicians Group)
• Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Eagle Grove)
• James David Varland, LMHC LMFT
• Walker Dental Consulting, L.L.C.
• Spencer Wallace Walker, D.D.S.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Eagle Grove, IA
• Providers in Eagle Grove, IA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.