CHARLES ALLLEN WAGNER NPI 1356069082

NPI Information

  • NPI: 1356069082
  • Provider Name: CHARLES ALLLEN WAGNER
  • Classification: Pharmacy Technician - 183700000X
  • Entity Type: Individual
  • Address: 1804 CONNECTICUT AVE
    ELKHART, IN
    ZIP 46514
  • Phone: (574) 218-2613

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NPI Details

Charles Alllen Wagner is a pharmacy technician in Elkhart, IN. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. Charles Alllen Wagner NPI is 1356069082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1804 CONNECTICUT AVE
ELKHART, IN
ZIP 46514-367
Phone: (574) 218-2613

The enumeration date for this NPI number is 8/18/2022 and was last updated on 8/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183700000XPharmacy Technician67010074AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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