Individual provider Active NPI

Nora Wagner, PHARMD

  • Pharmacist
  • Colorado Springs, CO
National Provider Identifier
1891338463
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0024677 Issued in CO
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

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PHA.0024677COMDPharmacist
80861CAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Community/Retail Pharmacy PastSince Sep 21, 2025 Accepting new patients
Longs Drug Stores California LLC Community/Retail Pharmacy PastSince Oct 1, 2019 Accepting new patients
Longs Drug Store California LLC Community/Retail Pharmacy PastSince Oct 1, 2019 Accepting new patients
Safeway Inc Community/Retail Pharmacy PastSince Sep 21, 2025 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.

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.

Verify at the official NPI Registry.