Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Miller Wagner, PHARMD

Individual provider Pharmacist · NPI 1629679212

Jared Miller Wagner, PHARMD is a Pharmacist in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9411 S Delaware Ave
Tulsa, OK 74137-5614
Phone: (918) 299-5764
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14505 (OK)

Record details

NPI number1629679212
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address9411 S Delaware Ave, Tulsa, OK 74137-5614

Other providers in Tulsa