Gregory Mark Wagner, RPH
Gregory Mark Wagner is a Pharmacist provider (Pharmacist) practicing in Eagan, MN, registered in the NPPES registry with NPI 1962008631 since 2020. The credential RPH stands for Registered Pharmacist. Practices at Supervalu Pharmacies Inc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962008631 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Gregory Mark Wagner |
| Credential | RPH |
| Sex | Male |
| Practice address | 1020 DIFFLEY RD, Eagan, MN, 55123 |
| Phone | 6514525500 |
| Enumeration date | 2020-12-08 |
| Last updated in NPPES | 2020-12-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 114271 | MN |
RPH — Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy. About the RPH credential
Copy-ready billing details
Provider: Gregory Wagner, RPH NPI: 1962008631 Taxonomy: 183500000X (Pharmacist) Address: 1020 DIFFLEY RD, Eagan, MN, 55123
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598912560 | Supervalu Pharmacies Inc | Organization | Community/Retail Pharmacy | Eagan, MN |
| 1083200257 | Sheri Beaupre | Individual | Pharmacist | Eagan, MN |
Verify this record
Cross-check NPI 1962008631 against the authoritative CMS record: view Gregory Mark 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
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-12-08.