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

Jesse Sue Wageman, PHARMD

Individual provider Pharmacist · NPI 1598050445

Jesse Sue Wageman, PHARMD is a Pharmacist in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4845 Yellowstone Ave
Chubbuck, ID 83202-2333
Phone: (208) 237-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence E3950 (ID)

Record details

NPI number1598050445
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJune 17, 2011
Last updated in NPPESNovember 10, 2014
Mailing address1201 East Gilbert Ave, Coeur D Alene, ID 83815-2333

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