What is Jason Waggoner's NPI number?

Jason Waggoner's National Provider Identifier (NPI) is 1033713524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jason Waggoner's specialty?

Jason Waggoner is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Jason Waggoner located?

Jason Waggoner's practice location on file with NPPES is 1316 Charleston Ave, Mattoon, IL 61938-4016.

What is Jason Waggoner's phone number?

The practice phone number listed in the NPPES registry for Jason Waggoner is (217) 258-2920.

Is Jason Waggoner's NPI active?

Yes — Jason Waggoner's NPI (1033713524) is active in the NPPES registry as of the last update on 2020-11-24.

IndividualActive

Jason Waggoner, RPH

NPI 1033713524 · Pharmacist · Mattoon, IL

Jason Waggoner, RPH is a Pharmacist provider in Mattoon, IL (NPI 1033713524).

Provider details

NPI number: 1033713524
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: No
License: 051-289951 (IL)

Practice location

1316 Charleston Ave

Mattoon, IL 61938-4016

Phone: (217) 258-2920

Street-level locationGet directions

More IL providers

Mailing address

1316 Charleston Ave

Mattoon, IL 61938-4016

Specialties & taxonomies

PharmacistPrimary183500000XLicense 051-289951 (IL)
Pharmacy Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2020-11-24
Last updated: 2020-11-24
Certified: 2020-11-24

Frequently asked questions

What is Jason Waggoner's NPI number?: Jason Waggoner's National Provider Identifier (NPI) is 1033713524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jason Waggoner's specialty?: Jason Waggoner is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
Where is Jason Waggoner located?: Jason Waggoner's practice location on file with NPPES is 1316 Charleston Ave, Mattoon, IL 61938-4016.
What is Jason Waggoner's phone number?: The practice phone number listed in the NPPES registry for Jason Waggoner is (217) 258-2920.
Is Jason Waggoner's NPI active?: Yes — Jason Waggoner's NPI (1033713524) is active in the NPPES registry as of the last update on 2020-11-24.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions