JARED MILLER WAGNER PHARMD
NPI 1629679212
Pharmacist in Tulsa, OK

Active since November 02, 2020
9411 S DELAWARE AVE, TULSA, OK 74137(918) 299-5764 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Miller Wagner Pharmd NPPES

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

JARED MILLER WAGNER PHARMD (NPI 1629679212) is an individual pharmacist in Tulsa, Oklahoma, licensed in Oklahoma (14505) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1629679212
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJARED MILLER WAGNERCredential: PHARMD
Location Address9411 S DELAWARE AVETulsa, OK 74137-5614
Mailing Address9411 S Delaware AveTulsa, OK 74137-5614 · (918) 299-5764
Sole ProprietorNo
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
NPI 1629679212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OK · 14505
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.
9411 S DELAWARE AVE, Tulsa, OK 74137

Other Providers at the Same Location NPPES 3

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

Pharmacist
9411 S DELAWARE AVE
TULSA, OK 74137
Pharmacist
9411 S DELAWARE AVE
TULSA, OK 74137
Pharmacy (Community/Retail Pharmacy)
9411 S DELAWARE AVE
TULSA, OK 74137

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 Jared Wagner's NPI number?

The NPI number for Jared Wagner is 1629679212. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Jared Wagner located?

Jared Wagner practices at 9411 S Delaware Ave, Tulsa, OK 74137. The listed phone number is (918) 299-5764.

What is Jared 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 Jared Wagner was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.