Wauconda Pharmacy, Inc. is not a DME supplier for medicare equipments and products.
Wauconda Pharmacy, Inc. is a Durable Medical Equipment & Medical Supplies in Wauconda, Illinois. It is located at 222 S Main St, Wauconda and it's customer support contact number is 847-526-2591. The authorized person of Wauconda Pharmacy, Inc. is Terry J Bruner who is Manager of the pharmacy and his contact number is 847-526-2591. Active license number of Wauconda Pharmacy, Inc. is 054-006291 for Durable Medical Equipment & Medical Supplies in Illinois. Wauconda Pharmacy, Inc. is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
Wauconda Pharmacy, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Wauconda Pharmacy, Inc.
Type:
Durable Medical Equipment & Medical Supplies
Location:
222 S Main St, Wauconda, Illinois, 60084-1828
Phone:
847-526-2591
Fax:
847-526-1598
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Terry J Bruner
Position:
Manager
Contact Number:
847-526-2591
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1568571420
NPI Enumeration Date:
30 Aug, 2006
NPI Last Update On:
07 Nov, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wauconda Pharmacy, Inc. are as mentioned below.
Specialization
License Number
State
Status
Durable Medical Equipment & Medical Supplies
054-006291
Illinois
Primary
Customized Equipment
054-006291
Illinois
Secondary
Parenteral & Enteral Nutrition
054-006291
Illinois
Secondary
Oxygen Equipment & Supplies
054-006291
Illinois
Secondary
Pharmacy
054-006291
Illinois
Secondary
Community/Retail Pharmacy
054-006291
Illinois
Secondary
Home Infusion Therapy Pharmacy
054-006291
Illinois
Secondary
Long Term Care Pharmacy
054-006291
Illinois
Secondary
Mail Order Pharmacy
054-006291
Illinois
Secondary
Specialty Pharmacy
054-006291
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
IL3147
Other
Illinois
Medicare Part B
1428196
Other
Illinois
Bcbs Pharmacy
36368683001
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 5047, Meridian, Mississippi
Zip:
39302-5047
Phone Number:
800-447-4095
Fax Number:
601-482-7490
Patients can reach Wauconda Pharmacy, Inc. at 222 S Main St, Wauconda, Illinois or can call on customer care at 847-526-2591.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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