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JESSE SUE WAGEMAN PHARMD
NPI 1598050445
Pharmacist in Chubbuck, ID

Active since June 17, 2011
4845 YELLOWSTONE AVE, CHUBBUCK, ID 83202(208) 237-3900 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Sue Wageman Pharmd NPPES

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

JESSE SUE WAGEMAN PHARMD (NPI 1598050445) is an individual pharmacist in Chubbuck, Idaho, licensed in Idaho (E3950) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1598050445
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJESSE SUE WAGEMANCredential: PHARMD
Location Address4845 YELLOWSTONE AVEChubbuck, ID 83202-2333
Mailing Address1201 East Gilbert AveCoeur D Alene, ID 83815-2333 · (208) 916-6879
Phone(208) 237-3900
Sole ProprietorYes
Enumeration DateJune 17, 2011
Last NPPES UpdateNovember 10, 2014
✔ NPI 1598050445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · E3950
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.
4845 YELLOWSTONE AVE, Chubbuck, ID 83202
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Other Providers at the Same Location NPPES 9

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

JOHN COLE WARBURTON PHARMD
Pharmacist
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Bannock County (208) 237-3900
ZAYNE B LANIER
Student in an Organized Health Care Education/Training Program
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Bannock County (208) 237-3900
LYLE CHRISTOPHER KONTES PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4845 YELLOWSTONE AVE
POCATELLO, ID 83202
Bannock County (208) 237-3900
MR. ALAN DAVID PANNIER PHARMACY INTERN
Pharmacist
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Bannock County (208) 237-3900
DR. VALERIE MCKINLEY PHARMD
Pharmacist
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Bannock County (208) 237-3900
MATTHEW LORCHER PHARMD
Pharmacist
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Bannock County (208) 237-3900
AUSTIN PUGMIRE
Student in an Organized Health Care Education/Training Program
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Bannock County (208) 237-3900
MATTHEW R DECKER PHARM.D.
Pharmacist
4845 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Bannock County (208) 237-3900

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 Jesse Wageman's NPI number?

The NPI number for Jesse Wageman is 1598050445. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Jesse Wageman located?

Jesse Wageman practices at 4845 Yellowstone Ave, Chubbuck, ID 83202. The listed phone number is (208) 237-3900.

What is Jesse Wageman'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 Jesse Wageman was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.