OrganizationActive
Wauconda Pharmacy Inc
NPI 1831274513 · Compounding Pharmacy · Wauconda, IL
Provider details
- NPI number
- 1831274513
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Terry Bruner, Owner(847) 526-2591
Specialties & taxonomies
Suppliers
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 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
222 S Main St
Wauconda, IL 60084-1828
Phone: (847) 526-2591
Fax: (847) 526-1598
Street-level locationGet directions
Mailing address
222 S Main St
Wauconda, IL 60084-1828
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2011-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.