IndividualActive
Jessica Wagner, RPH, PHARMD, BCPS
NPI 1124543657 · Pharmacotherapy Pharmacist · Louisville, KY
Provider details
- NPI number
- 1124543657
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- RPH, PHARMD, BCPS
- Sex
- Female
- Sole proprietor
- No
- License
- 03442632 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 Zorn Ave
Louisville, KY 40206-1433
Phone: (502) 287-4772
Street-level locationGet directions
Mailing address
800 Zorn Ave
Louisville, KY 40206-1433
Additional practice locations (2)
- 1501 San Pedro Dr Se # 119Albuquerque, NM 87108-5153Phone: (505) 265-1711
- 1310 24th Ave SNashville, TN 37212-2637Phone: (615) 327-4751
Registry dates
- Enumerated
- 2017-08-05
- Last updated
- 2025-09-12
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.