IndividualActive
Jared Wagner, PHARMD
NPI 1629679212 · Pharmacist · Tulsa, OK
Jared Wagner, PHARMD is a Pharmacist provider in Tulsa, OK (NPI 1629679212).
Provider details
- NPI number
- 1629679212
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 14505 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
9411 S Delaware Ave
Tulsa, OK 74137-5614
Phone: (918) 299-5764
Street-level locationGet directions
Mailing address
9411 S Delaware Ave
Tulsa, OK 74137-5614
Registry dates
- Enumerated
- 2020-11-02
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Frequently asked questions
- What is Jared Wagner's NPI number?
- Jared Wagner's National Provider Identifier (NPI) is 1629679212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Wagner's specialty?
- Jared Wagner is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jared Wagner located?
- Jared Wagner's practice location on file with NPPES is 9411 S Delaware Ave, Tulsa, OK 74137-5614.
- What is Jared Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jared Wagner is (918) 299-5764.
- Is Jared Wagner's NPI active?
- Yes — Jared Wagner's NPI (1629679212) is active in the NPPES registry as of the last update on 2020-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.