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DR. JENNIFER MIN WAGNER PHARM.D, MBA, RPH
NPI 1417584640
Pharmacist in Decorah, IA

Active since March 26, 2020
1798 OLD STAGE RD, DECORAH, IA 52101(563) 382-8456 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jennifer Min Wagner Pharm.d, Mba, Rph NPPES

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

DR. JENNIFER MIN WAGNER PHARM.D, MBA, RPH (NPI 1417584640) is an individual pharmacist in Decorah, Iowa, licensed in Iowa (23241) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1417584640
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. JENNIFER MIN WAGNERCredential: PHARM.D, MBA, RPH
Location Address1798 OLD STAGE RDDecorah, IA 52101-7497
Mailing Address3909 Sunnydale Ln SeRochester, MN 55904-3922 · (605) 464-1634
Phone(563) 382-8456
Sole ProprietorYes
Enumeration DateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
✔ NPI 1417584640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IA · 23241
Definition
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.
1798 OLD STAGE RD, Decorah, IA 52101
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Other Providers at the Same Location NPPES 6

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

PETER P. APPELL, O.D.,P.C.
Optometrist
1798 OLD STAGE RD
DECORAH, IA 52101
Winneshiek County (563) 382-1770
KAYLA BROWN PHARMD
Pharmacist
1798 OLD STAGE RD
DECORAH, IA 52101
Winneshiek County (563) 382-8456
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
1798 OLD STAGE RD
DECORAH, IA 52101
Winneshiek County (563) 382-8456
WAL-MART STORES, INC.
Eyewear Supplier
1798 OLD STAGE RD
DECORAH, IA 52101
Winneshiek County (563) 382-8737
AMY JANE KNOKE RPH
Pharmacist
1798 OLD STAGE RD
DECORAH, IA 52101
Winneshiek County (563) 382-8456
JANICE ANN HANSON
Pharmacist
1798 OLD STAGE RD
DECORAH, IA 52101
Winneshiek County (563) 382-8456

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 Jennifer Wagner's NPI number?

The NPI number for Jennifer Wagner is 1417584640. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Jennifer Wagner located?

Jennifer Wagner practices at 1798 Old Stage Rd, Decorah, IA 52101. The listed phone number is (563) 382-8456.

What is Jennifer Wagner's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wagner was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.