Wauconda Pharmacy Inc
Compounding Pharmacy
222 S Main St, Wauconda
Illinois, 60084-1828
847-526-2591 847-526-1598
Wauconda Pharmacy Inc is a Compounding Pharmacy 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 Bruner, RPH who is Owner of the pharmacy and his contact number is 847-526-2591. Active license number of Wauconda Pharmacy Inc is 054006291 for Compounding Pharmacy in Illinois. Wauconda Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wauconda Pharmacy Inc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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: | Compounding Pharmacy |
| 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 Bruner |
| Credentials: | RPH |
| Position: | Owner |
| 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: | 1831274513 |
| NPI Enumeration Date: | 25 Oct, 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 | |
| Compounding Pharmacy | 054006291 | Illinois | Primary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
| Pharmacy | | | 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 |
| 1428196 | Other | Illinois | Bcbs Pharmacy |
| IL3147 | Other | Illinois | Medicare Part B |
| 1428196 | Other | | Other Id Number |
| 362686883001 | Medicaid | Illinois | |
Medicare Enrollment:
Wauconda Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9133142540 | O20100930053679 | Wauconda Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 9133142540 | O20121205000439 | Wauconda Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Wauconda Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Infusion Pumps & Supplies: External Infusion | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Seat Lift Mechanisms |
| • Surgical Dressings | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 222 S Main St,
Wauconda, Illinois |
| Zip: | 60084-1828 |
| Phone Number: | -- |
Patients can reach Wauconda Pharmacy Inc at
222 S Main St, Wauconda, Illinois or can
call on customer care at 847-526-2591.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.