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

Justin Wagner

Individual provider Pharmacist · NPI 1245647700

Justin Wagner is a Pharmacist in Gallup, New Mexico. Licensed in Iowa, New Mexico and Nevada. Registered with an NPI since 2014.

Licensed in
IA, NM, NV
In the registry since
2014
Specialties on file
3

Practice location Address checks out

1650 W Maloney Ave
Gallup, NM 87301-3305
Phone: (505) 722-3823
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP00007923 (NM)
Pharmacist Taxonomy 183500000X · Licence 13889 (NV)
Pharmacist Taxonomy 183500000X · Licence 18855 (IA)

Record details

NPI number1245647700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2014
Last updated in NPPESJuly 16, 2014
Mailing address1650 W Maloney Ave, Gallup, NM 87301-3305

Other providers in Gallup