Active NPI
Nora Wagner, PHARMD
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1891338463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0024677
- Practice address
- 1121 N Circle Dr
Colorado Springs, CO 80909-3134 - Phone
- (719) 573-6061
- NPI assigned
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0024677 | CO | Primary |
| Community/Retail Pharmacy | 3336C0003X | 80861 | CA |
Addresses
Primary practice location
1121 N Circle Dr
Colorado Springs, CO 80909-3134
Mailing address
8609 Gatewick Dr
Colorado Springs, CO 80920-7392
Phone (913) 523-3844
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0024677 | CO | MD | Pharmacist |
| 80861 | CA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Community/Retail Pharmacy | Past | Accepting new patients |
| Longs Drug Stores California LLC | Community/Retail Pharmacy | Past | Accepting new patients |
| Longs Drug Store California LLC | Community/Retail Pharmacy | Past | Accepting new patients |
| Safeway Inc | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Colorado Springs, CO
- NPI 1376572339
-
- Pharmacy
- Kapolei, HI
- NPI 1700565793
-
- Pharmacy
- Yuba City, CA
- NPI 1285678011
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1891338463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 GATEWICK DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207392",
"telephone_number": "913-523-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093134",
"telephone_number": "719-573-6061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "NORA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0024677",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "80861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.