JESSICA ANN WAGNER RPH, PHARMD, BCPS
NPI 1124543657
Pharmacist - Pharmacotherapy in Louisville, KY

Active since August 05, 2017
800 ZORN AVE, LOUISVILLE, KY 40206(502) 287-4772 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2025, Oct 14, 2021, Oct 9, 2019 and 2 more (5 updates tracked since 2017).

About Jessica Ann Wagner Rph, Pharmd, Bcps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANN WAGNER RPH, PHARMD, BCPS (NPI 1124543657) is an individual pharmacotherapy provider in Louisville, Kentucky, licensed in Ohio (03442632) and active in the NPI registry since August 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124543657
Entity TypeIndividualFemale
Primary Taxonomy1835P1200X
Provider Legal NameJESSICA ANN WAGNERCredential: RPH, PHARMD, BCPS
Location Address800 ZORN AVELouisville, KY 40206-1433
Mailing Address800 Zorn AveLouisville, KY 40206-1433 · (502) 287-4772
Sole ProprietorNo
Enumeration DateAugust 5, 2017
Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1124543657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License Licensed in OH · 03442632
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
800 ZORN AVE, Louisville, KY 40206

Other Names 1

Former Name (1)Jessica Ann Louthan Rph, Pharmd, Bcps

Secondary Practice Locations 2

Location 11501 San Pedro Dr SE # 119Albuquerque, NM 87108-5153 · Phone (505) 265-1711 ext. 2987
Location 21310 24th Ave SNashville, TN 37212-2637 · Phone (615) 327-4751

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
800 ZORN AVE
LOUISVILLE, KY 40206
Nurse Practitioner (Family)
800 ZORN AVE, MEDICINE SERVICE (111)
LOUISVILLE, KY 40206
Psychologist (Clinical)
800 ZORN AVE
LOUISVILLE, KY 40206
Pharmacist
800 ZORN AVE
LOUISVILLE, KY 40206
Nurse Practitioner (Family)
800 ZORN AVE
LOUISVILLE, KY 40206
Registered Nurse
800 ZORN AVE
LOUISVILLE, KY 40206
Licensed Practical Nurse
800 ZORN AVE
LOUISVILLE, KY 40206
Internal Medicine
800 ZORN AVE
LOUISVILLE, KY 40206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wagner's NPI number?

The NPI number for Jessica Wagner is 1124543657. It was assigned to this individual provider in the NPPES registry on August 5, 2017. The provider is also known as Jessica Ann Louthan Rph, Pharmd, Bcps.

Where is Jessica Wagner located?

Jessica Wagner practices at 800 Zorn Ave, Louisville, KY 40206. The listed phone number is (502) 287-4772.

What is Jessica Wagner's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Jessica Wagner was last updated on September 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.