Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235524075 Individual Practitioner Male Practitioner

John Herbert Wagner , R PH

Pharmacist • Racine, WI

Professional Overview & Biography Verified Profile Summary

John Wagner, R PH is a registered healthcare professional specializing in Pharmacist in Racine, WI. Practice services are available at 3900 ERIE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3900 Erie St

Racine, WI 534023544

Telephone 2626391611
Fax 2626395611
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1225062441

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Racine, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
83 Specialists

Practicing in Racine, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 8002-40

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1225062441 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1093113250

Registered Pharmacist

NPI 1932538881

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2015

Registered at 3900 ERIE ST, RACINE, WI 534023544 (Tel: 2626391611)

📍
Updated Business Mailing Address March 30, 2015

Registered at 3900 ERIE ST, RACINE, WI 534023544 (Tel: 2626391611)

👤
Provider Name / Credentials Updated March 30, 2015

Recorded as JOHN WAGNER, R. PH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2015

Pharmacist (License #8002-40 in WI)

🟢
Initial NPI Registration & Enumeration March 30, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235524075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2015
Last Update: March 30, 2015
Sole Proprietor: No

Mailing Address

3900 Erie St

Racine, WI 534023544

Phone: 2626391611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.