GREGORY MARK WAGNER RPH
NPI 1962008631
Pharmacist in Eagan, MN

Active since December 08, 2020
1020 DIFFLEY RD, EAGAN, MN 55123(651) 452-5500 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory Mark Wagner Rph NPPES

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

GREGORY MARK WAGNER RPH (NPI 1962008631) is an individual pharmacist in Eagan, Minnesota, licensed in Minnesota (114271) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1962008631
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameGREGORY MARK WAGNERCredential: RPH
Location Address1020 DIFFLEY RDEagan, MN 55123-1777
Mailing Address1020 Diffley RdEagan, MN 55123-1777 · (651) 452-5500
Sole ProprietorNo
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1962008631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 114271
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.

1020 DIFFLEY RD, Eagan, MN 55123

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
1020 DIFFLEY RD
EAGAN, MN 55123
Pharmacist
1020 DIFFLEY RD
EAGAN, MN 55123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962008631, enumerated as an "individual" on December 08, 2020.

The provider is located at 1020 DIFFLEY RD EAGAN, MN 55123 and the phone number is (651) 452-5500.

Pharmacist with taxonomy code 183500000X.