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

Nicole Kristin Wagner, RPH

Individual provider Pharmacist · NPI 1114562097

Nicole Kristin Wagner, RPH is a Pharmacist in Fort Myers Beach, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

17105 San Carlos Blvd
Fort Myers Beach, FL 33931-5305
Phone: (239) 340-7073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS29977 (FL)

Record details

NPI number1114562097
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedNovember 14, 2019
Last updated in NPPESNovember 14, 2019

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