MRS. DONNA C. WALLACE (NPI# 1164938130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164938130 |
| Entity Type | Individual |
| Full Name | MRS. DONNA C. WALLACE |
| Credential | PHARMD |
| Practice Address |
1817 Nw 127th Ave Pembroke Pines FL 33028-2567 |
| Practice Telephone | 9543251495 |
| Mailing Telephone | 9543251495 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS30769 | FL | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PU4665 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710199328 | Donna Wallace | Social Worker | 2110 Sw 97 Lane, Davie, FL 33324 | 2007-05-04 |
| 1639558471 | Donna Wallace | Counselor | 2814 S Us Highway 1, Suite D-4, Fort Pierce, FL 34982-8120 | 2015-05-26 |
| 1932475977 | Donna Lee Wallace | Specialist | 5600 Cypresswood Dr, Spring, TX 77379-8260 | 2012-03-23 |
| 1154577047 | Donna M Wallace | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2008-08-12 |
| 1003016320 | Donna K Wallace | Counselor | 1901 S 24th Ave, Edinburg, TX 78539-6533 | 2007-07-24 |
| 1386792349 | Donna M. Wallace | Pathology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1124192703 | Donna F Wallace | Physical Therapist | 3445 Post Road, J Arthur Trudeau Memorial Center Attn Kim Ruelle Hr, Warwick, RI 02886-7147 | 2006-11-17 |
| 1952321200 | Donna D Wallace | Nurse Practitioner | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-20 |
| 1346236122 | Donna C Wallace | Nurse Practitioner | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2005-09-27 |
| Street Address |
1817 NW 127TH AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879644 | Larry Tunde Oni | Pharmacist | 10071 Pines Blvd Ste D, Pembroke Pines, FL 33024-6105 | 2019-09-06 |
| 1932569126 | Tuyet Nguyen | Pharmacist | 11750 Sw 12th St, Pembroke Pines, FL 33025-4360 | 2016-03-01 |
| 1215302401 | Sonia Dhanjal | Pharmacist | 10261 Sw 13th St, Pembroke Pines, FL 33025-4702 | 2015-12-14 |
| 1700275252 | Jessica Elizabeth Guerra | Pharmacist | 1357 Nw 123rd Ter, Pembroke Pines, FL 33026-3860 | 2015-01-21 |
| 1417357971 | Jency Kochupurackal | Pharmacist | 2272 Nw 74th Way, Pembroke Pines, FL 33024-1070 | 2014-09-02 |
| 1003225426 | Janet Joseph | Pharmacist | 8310 Sw 12th St, Pembroke Pines, FL 33025-3346 | 2014-08-11 |
| 1811252588 | Lydia S. Tella | Pharmacist | 18493 Nw 22nd St, Pembroke Pines, FL 33029-3811 | 2012-07-09 |
| 1659647543 | Stan Lee Shapiro | Pharmacist | 9111 Pembroke Road, Pembroke Pines, FL 33025 | 2012-03-26 |
| 1588937312 | Olutola Akinola Sobande | Pharmacist | 17671 Sw 4th Ct, Pembroke Pines, FL 33029-4016 | 2012-02-09 |
| 1699043471 | Praveen Veeramachaneni | Pharmacist | 160 Sw 117th Ter Apt 302, Pembroke Pines, FL 33025-3491 | 2011-12-07 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.