IndividualActive
Jennifer Wagner, PHARM.D, MBA, RPH
NPI 1417584640 · Pharmacist · Decorah, IA
Jennifer Wagner, PHARM.D, MBA, RPH is a Pharmacist provider in Decorah, IA (NPI 1417584640).
Provider details
- NPI number
- 1417584640
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D, MBA, RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23241 (IA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1798 Old Stage Rd
Decorah, IA 52101-7497
Phone: (563) 382-8456
Street-level locationGet directions
Mailing address
3909 Sunnydale Ln Se
Rochester, MN 55904-3922
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2020-03-26
- Certified
- 2020-03-26
Frequently asked questions
- What is Jennifer Wagner's NPI number?
- Jennifer Wagner's National Provider Identifier (NPI) is 1417584640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wagner's specialty?
- Jennifer Wagner is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jennifer Wagner located?
- Jennifer Wagner's practice location on file with NPPES is 1798 Old Stage Rd, Decorah, IA 52101-7497.
- What is Jennifer Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wagner is (563) 382-8456.
- Is Jennifer Wagner's NPI active?
- Yes — Jennifer Wagner's NPI (1417584640) is active in the NPPES registry as of the last update on 2020-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.