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Wauconda Pharmacy, Inc.

Durable Medical Equipment & Medical Supplies in Wauconda, IL · enumerated 2006 · authorized official Terry Bruner, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568571420

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Registry record

Entity type Organization (Type 2)
Legal business name Wauconda Pharmacy, Inc.
Other name <Unavail>
Practice address 222 S Main St, Wauconda, IL, 60084
Phone (847) 526-2591
Fax (847) 526-1598
Enumeration date Aug 30, 2006
Last updated in NPPES Nov 7, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 054-006291 (IL) Primary
332BC3200X Customized Equipment (DME) Suppliers · License 054-006291 (IL) Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers · License 054-006291 (IL) Secondary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers · License 054-006291 (IL) Secondary
333600000X Pharmacy Suppliers · License 054-006291 (IL) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 054-006291 (IL) Secondary
3336H0001X Home Infusion Therapy Pharmacy Suppliers · License 054-006291 (IL) Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 054-006291 (IL) Secondary
3336M0002X Mail Order Pharmacy Suppliers · License 054-006291 (IL) Secondary
3336S0011X Specialty Pharmacy Suppliers · License 054-006291 (IL) Secondary

Authorized official

Name Terry Bruner
Title Manager
Phone (847) 526-2591

Other identifiers

Identifier Type State Issuer
IL3147 Other IL MEDICARE PART B
1428196 Other IL BCBS PHARMACY
36368683001 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Wauconda Pharmacy, Inc.?
The NPI for Wauconda Pharmacy, Inc. is 1568571420, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wauconda Pharmacy, Inc.?
NPPES lists Terry Bruner (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-07.