Steven Lyle Wagner

Pharmacist · Washington Park, IL

Individual Active NPI

NPI number 1679460778

Practice location

1833 Kingshighway
Washington Park, IL 62204
Phone
(618) 874-3000
Fax
(618) 674-3103

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NPI record

NPI
1679460778
Entity type
Individual (Type 1)
Enumeration date
June 20, 2025
Last updated
June 20, 2025
Certified
June 20, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051031829 IL

Mailing address

1833 Kingshighway
East Saint Louis, IL 62204-2135
Phone
(618) 874-3000
Fax
(618) 674-3103

About Steven Wagner

Steven Lyle Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1833 Kingshighway, Washington Park, IL 62204. The NPI number 1679460778 was assigned on June 20, 2025 and the record was last updated on June 20, 2025.

Steven Wagner lists a license in the registry: #051031829 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Steven Lyle Wagner?

The NPI number is 1679460778.

What is the phone number of Steven Wagner?

The phone number listed for the practice location is (618) 874-3000.

Where is Steven Wagner located?

1833 Kingshighway, Washington Park, IL 62204.

What is the taxonomy code for Steven Wagner?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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