Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wauconda Pharmacy, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1568571420

Wauconda Pharmacy, Inc is a Durable Medical Equipment & Medical Supplies in Wauconda, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
10
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 S Main St
Wauconda, IL 60084-1828
Phone: (847) 526-2591
Fax: (847) 526-1598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1568571420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Bruner — Manager · (847) 526-2591
Other names Vital Care Of Wauconda
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 7, 2011
Mailing addressPo Box 5047, Meridian, MS 39302-5047

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