Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962008631 Individual Practitioner Male Practitioner

Gregory Mark Wagner , RPH

Pharmacist • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Gregory Wagner, RPH is a registered healthcare professional specializing in Pharmacist in Eagan, MN. Practice services are available at 1020 DIFFLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1020 Diffley Rd

Eagan, MN 551231777

Telephone 6514525500
Associated Practice Facility / Clinic
🏢 Supervalu Pharmacies Inc Facility NPI 1598912560

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Eagan, MN

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

Practicing in Eagan, MN (4994 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: 2020-12-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 114271

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

1 Associated Practitioners
NPI 1083200257

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2020

Registered at 1020 DIFFLEY RD, EAGAN, MN 551231777 (Tel: 6514525500)

📍
Updated Business Mailing Address December 08, 2020

Registered at 1020 DIFFLEY RD, EAGAN, MN 551231777 (Tel: 6514525500)

👤
Provider Name / Credentials Updated December 08, 2020

Recorded as GREGORY WAGNER, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2020

Pharmacist (License #114271 in MN)

🟢
Initial NPI Registration & Enumeration December 08, 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: 1962008631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2020
Last Update: December 08, 2020
Sole Proprietor: No

Mailing Address

1020 Diffley Rd

Eagan, MN 551231777

Phone: 6514525500

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.