Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WAGNER INDIAN HEALTH CARE PHARMACY
Active
Organization
WAGNER INDIAN HEALTH CARE PHARMACY
Active
Other names
WAGNER INDIAN HEALTH CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-3621
(605) 384-5229
Mailing address
3116 SOLUTIONS CTR, CHICAGO, IL 60677-3001
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
3860
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304844
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
SD5540030
—
SD
Enumeration date
03/06/2007
Last updated
02/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up