OrganizationActive
Wagner Pharmacy
NPI 1356356927 · Pharmacist · Aledo, IL
Provider details
- NPI number
- 1356356927
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Gary Wagner, Pharmacist(309) 582-5678
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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.
Practice location
108 N College Ave
Aledo, IL 61231-1519
Phone: (309) 582-5678
Fax: (309) 582-5679
Street-level locationGet directions
Mailing address
108 N College Ave
Aledo, IL 61231-1519
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.