Jonathan Mark Wagner
Pharmacist • San Angelo, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jonathan Wagner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jonathan Wagner was a registered Pharmacist practicing in San Angelo, TX. Throughout an active medical career spanning 6 years, Jonathan Wagner provided care at the practice location at 29 S CHADBOURNE ST until profile deactivation on 2026-04-09.
Practice Location & Contact Primary Location
29 S Chadbourne St
San Angelo, TX 769035805
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in San Angelo, TX
Practicing in San Angelo, TX (18958 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 09, 2026
NPI status registered as active in NPPES database
Registered at 29 S CHADBOURNE ST, SAN ANGELO, TX 769035805 (Tel: 3256553146)
Registered at 29 S CHADBOURNE ST, SAN ANGELO, TX 769035805 (Tel: 3256553146)
Recorded as JONATHAN WAGNER
Pharmacist (License #48807 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
29 S Chadbourne St
San Angelo, TX 769035805
Phone: 3256553146
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