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Wauconda Pharmacy Inc

Compounding Pharmacy in Wauconda, IL · enumerated 2006 · authorized official Terry Bruner, Owner.

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

National Provider Identifier

1831274513

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Registry record

Entity type Organization (Type 2)
Legal business name Wauconda Pharmacy Inc
Practice address 222 S Main St, Wauconda, IL, 60084
Fax (847) 526-1598
Enumeration date Oct 25, 2006
Last updated in NPPES Nov 7, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers · License 054006291 (IL) Primary
3336H0001X Home Infusion Therapy Pharmacy Suppliers Secondary

Authorized official

Name Terry Bruner
Title Owner

Other identifiers

Identifier Type State Issuer
1428196 Other IL BCBS PHARMACY
IL3147 Other IL MEDICARE PART B
1428196 Other - OTHER ID NUMBER
362686883001 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

Who is the authorized official for Wauconda Pharmacy Inc?
NPPES lists Terry Bruner (Owner) as the authorized official for this organization.
What is the NPI number for Wauconda Pharmacy Inc?
The NPI for Wauconda Pharmacy Inc is 1831274513, a Type 2 (organization) record in the CMS NPPES registry.

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