Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598050445 Individual Practitioner Female Practitioner

Dr. Jesse Sue Wageman , PharmD

Pharmacist • Chubbuck, ID

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Wageman, PharmD is a registered healthcare professional specializing in Pharmacist in Chubbuck, ID. Practice services are available at 4845 YELLOWSTONE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4845 Yellowstone Ave

Chubbuck, ID 832022333

Telephone 2082373900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Chubbuck, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Chubbuck, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID E3950

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1114200599

Doctor of Pharmacy (Pharm.D.)

NPI 1164021549

Doctor of Pharmacy (Pharm.D.)

Zayne Lanier

Student in an Organized Health Care Education/Training Program

NPI 1164980942
Dr. Lyle Kontes , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1184359929

Doctor of Pharmacy (Pharm.D.)

NPI 1558645705

Registered Pharmacist

NPI 1568757417

PHARMACYINTERN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2014

Registered at 4845 YELLOWSTONE AVE, CHUBBUCK, ID 832022333 (Tel: 2082373900)

📍
Updated Business Mailing Address November 10, 2014

Registered at 1201 EAST GILBERT AVE, COEUR D ALENE, ID 838152333 (Tel: 2089166879)

👤
Provider Name / Credentials Updated November 10, 2014

Recorded as JESSE WAGEMAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2014

Pharmacist (License #E3950 in ID)

🟢
Initial NPI Registration & Enumeration June 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598050445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2011
Last Update: November 10, 2014
Sole Proprietor: Yes

Mailing Address

1201 East Gilbert Ave

Coeur D Alene, ID 838152333

Phone: 2089166879

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.