Jared Miller Wagner, PHARMD

Jared Miller Wagner is a Pharmacist provider (Pharmacist) practicing in Tulsa, OK, registered in the NPPES registry with NPI 1629679212 since 2020. The credential PHARMD stands for Doctor of Pharmacy. Practices at Wal-Mart Stores East Lp (listed at the same practice address in NPPES).

✓ Active NPI ✓ Valid NPI checksum

NPI	1629679212
Entity type	Individual (Type 1)
Name	Jared Miller Wagner
Credential	PHARMD
Sex	Male
Practice address	9411 S DELAWARE AVE, Tulsa, OK, 74137
Phone	9182995764
Enumeration date	2020-11-02
Last updated in NPPES	2020-11-02

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
183500000X	Pharmacist	Primary	14505	OK

PHARMD — Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

Copy-ready billing details

Provider: Jared Wagner, PHARMD
NPI: 1629679212
Taxonomy: 183500000X (Pharmacist)
Address: 9411 S DELAWARE AVE, Tulsa, OK, 74137

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1477572485	Wal-Mart Stores East Lp	Organization	Community/Retail Pharmacy	Tulsa, OK
1104428523	Nathan Boyd	Individual	Pharmacist	Tulsa, OK
1063008258	Ashley Ferrell	Individual	Pharmacist	Tulsa, OK

Verify this record

Cross-check NPI 1629679212 against the authoritative CMS record: view Jared Miller Wagner on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What specialty is Jared Wagner?

Jared Wagner is registered in NPPES with the primary taxonomy of Pharmacist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-02.