IndividualActive
Patricia Wagner
NPI 1730493453 · Pharmacist · Saint Johns, MI
Provider details
- NPI number
- 1730493453
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5302037273 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2119 S US Highway 27
Saint Johns, MI 48879-9166
Phone: (989) 224-8976
Street-level locationGet directions
Mailing address
708 W Cass St
Saint Johns, MI 48879-1719
Registry dates
- Enumerated
- 2010-08-05
- Last updated
- 2010-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.