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

Individual provider Pharmacist · NPI 1790227510

Jason C Bagley, RPH is a Pharmacist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2016
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1326 N Coliseum Blvd
Fort Wayne, IN 46805-5526
Phone: (260) 739-6069
Fax: (260) 739-6696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26018380A (IN)

Record details

NPI number1790227510
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedNovember 10, 2016
Last updated in NPPESNovember 10, 2016

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