NICOLE L WAGNER (PHARMD) – Pharmacist, NPI 1164759882

NICOLE L WAGNER (PHARMD) is a healthcare provider. based in Watauga, Texas. specializing in Pharmacist. They hold the professional credentials PHARMD. They hold a License No. 44258 (TX). The NPI Number for NICOLE L WAGNER (PHARMD) is 1164759882

Main info

Female
Sole Proprietor
Name
NICOLE L WAGNER (PHARMD)
NPI
1164759882
Phone
(817) 702-6634
Address
6601 WATAUGA RD STE 126
Enumeration Date
17 November 2009
Last Update Date
17 November 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for NICOLE L WAGNER (PHARMD)

  • Watauga Road, Johnson City, Carter County, East Tennessee, Tennessee, 37601, United States

    WATAUGA, TX 761483331

    Phone: (817) 702-6634

    Fax: (817) 702-6604

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76148)

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Reviews

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Frequently asked questions

What is the registry number for NICOLE L WAGNER (PHARMD)?
The registry entry for NICOLE L WAGNER (PHARMD) shows NPI 1164759882.
Quick check: is NICOLE L WAGNER (PHARMD) active?
Public NPPES data shows NICOLE L WAGNER (PHARMD) with an active NPI status right now.
Which specialty label fits NICOLE L WAGNER (PHARMD)?
NPPES ties NICOLE L WAGNER (PHARMD) to Pharmacist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is NICOLE L WAGNER (PHARMD) tied to Watauga, Texas?
If you are local to Watauga, Texas, NICOLE L WAGNER (PHARMD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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