Organization Active NPI

Elizabeth-S Pharmacy on Main Inc

  • Community/Retail Pharmacy
  • Britt, IA
National Provider Identifier
1972948727
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1458 Issued in IA
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

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Andrew J Wagner, PHARMDNPI 1821584830
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0212838MedicaidIA
2140451OtherPK

Other names 2

  • Elizabeth's Pharmacy on Main Doing business as
  • Wagner Drug- Britt Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161018000671 IA Part B Supplier - Pharmacy 8022306513 Practice locations: Britt, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.