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Active NPI 1417584640 Individual Practitioner Female Practitioner

Dr. Jennifer Min Wagner , PharmD, MBA, RPH

Pharmacist • Decorah, IA

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Wagner, PharmD, MBA, RPH is a registered healthcare professional specializing in Pharmacist in Decorah, IA. Practice services are available at 1798 OLD STAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1798 Old Stage Rd

Decorah, IA 521017497

Telephone 5633828456
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1669499042

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Decorah, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Decorah, IA (3246 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

CMS Verified: 2020-03-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IA 23241

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

3 Associated Practitioners
NPI 1538797618

Doctor of Pharmacy (Pharm.D.)

NPI 1841828340

Registered Pharmacist

Janice Hanson

Pharmacist

NPI 1861020018

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2020

Registered at 1798 OLD STAGE RD, DECORAH, IA 521017497 (Tel: 5633828456)

📍
Updated Business Mailing Address March 26, 2020

Registered at 3909 SUNNYDALE LN SE, ROCHESTER, MN 559043922 (Tel: 6054641634)

👤
Provider Name / Credentials Updated March 26, 2020

Recorded as JENNIFER WAGNER, PHARM.D, MBA, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Pharmacist (License #23241 in IA)

🟢
Initial NPI Registration & Enumeration March 26, 2020

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: 1417584640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2020
Last Update: March 26, 2020
Sole Proprietor: Yes

Mailing Address

3909 Sunnydale Ln Se

Rochester, MN 559043922

Phone: 6054641634

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.