Active NPI
Elizabeth-S Pharmacy on Main Inc
- Community/Retail Pharmacy
- Britt, IA
National Provider Identifier
1972948727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1458
- Legal business name
- ELIZABETH-S PHARMACY ON MAIN INC
- Practice address
- 52 Main Ave N
Britt, IA 50423-1657 - Phone
- (641) 843-3885
- Fax
- (641) 843-4197
- NPI assigned
- May 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew J Wagner, PHARMD
- Title
- President
- Phone
- (515) 448-3814
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1458 | IA | Primary |
Addresses
Primary practice location
52 Main Ave N
Britt, IA 50423-1657
Mailing address
52 Main Ave N
Britt, IA 50423-1657
Phone (641) 843-3885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212838 | Medicaid | IA | |
| 2140451 | Other | PK |
Other names 2
- Elizabeth's Pharmacy on Main
- Wagner Drug- Britt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161018000671 | IA | Part B Supplier - Pharmacy | 8022306513 | Practice locations: Britt, IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Eagle Grove, IA
- NPI 1821584830
-
- Pharmacist
- Britt, IA
- NPI 1356831457
-
- Pharmacist
- Britt, IA
- NPI 1467128009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761609600000",
"number": "1972948727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MAIN AVE N",
"city": "BRITT",
"state": "IA",
"postal_code": "504231657",
"telephone_number": "641-843-3885",
"fax_number": "641-843-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MAIN AVE N",
"city": "BRITT",
"state": "IA",
"postal_code": "504231657",
"telephone_number": "641-843-3885",
"fax_number": "641-843-4197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH-S PHARMACY ON MAIN INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-07",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-448-3814",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IA",
"license": "1458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0212838",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140451",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elizabeth's Pharmacy on Main",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wagner Drug- Britt",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Britt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.