Jessica Ann Wagner, RPH, PHARMD, BCPS

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

03442632 Issued in OH

Practice address

800 Zorn Ave
Louisville, KY 40206-1433

Phone

(502) 287-4772

NPI assigned

Aug 5, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Ann Louthan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1124543657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 San Pedro Dr SE # 119",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871085153",
            "country_code": "US",
            "telephone_number": "505-265-1711 x2987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 24th Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372122637",
            "country_code": "US",
            "telephone_number": "615-327-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "RPH, PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-05",
        "last_updated": "2025-09-12",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03442632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LOUTHAN",
            "middle_name": "ANN",
            "credential": "RPH,  PHARMD, BCPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bradley Mann Wagner, PT, DPT
• Cynthia Yvonne Wagner
• Dana Wagner
• Dennis E Wagner, ED.D.
• Jake Wagner
• Joseph Lawrence Wagner III, DMD
• Laura McCauley Wagner, LMFT
• Logan Joseph Wagner
• Marilyn M Wagner, PH.D.
• Mary Isabel Wagner

• Pharmacotherapy Pharmacist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pharmacotherapy Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.