MS. LESLEIGH LENCOLA WALLACE (NPI# 1316123540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316123540 |
| Entity Type | Individual |
| Full Name | MS. LESLEIGH LENCOLA WALLACE |
| Credential | PHARM.D. |
| Practice Address |
3500 W Wheatland Rd Dallas TX 75237 |
| Mailing Address |
406 Trinity River Cir Dallas TX 75203-1056 |
| Practice Telephone | 2149477777 |
| Mailing Telephone | 3187734197 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202208107 | VA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 18295 | LA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
48069 | TX | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4715 Nine Mile Rd, Richmond, VA 232234908 | 8042269388 |
| Street Address |
3500 W WHEATLAND RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967074 | Select Specialty Hospital - South Dallas Inc | Long Term Care Hospital | 3500 W Wheatland Rd, 4th Floor, Dallas, TX 75237-3460 | 2005-07-27 |
| 1609495910 | Abigail Rosales | Family Medicine | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2020-04-16 |
| 1962021220 | Rajani Lata Shrestha | Family Medicine | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2020-04-15 |
| 1720607344 | Olivia Demarta | Family Medicine | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2020-04-14 |
| 1295354264 | Patrick M Brennan | Family Medicine | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2020-04-10 |
| 1427686583 | Jacob Heuring | Student in an Organized Health Care Education/Training Program | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2020-04-01 |
| 1114555620 | Kshma Kulkarni | Student in an Organized Health Care Education/Training Program | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2020-03-30 |
| 1942860564 | Onikepo O Omonira | Nurse Practitioner | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2019-06-17 |
| 1295399277 | Gladys Lopez | Family Medicine | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2019-04-25 |
| 1902469018 | Niti Khambhati | Family Medicine | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144240 | Saima Ayub | Pharmacist | 6808 Skillman St Apt 5115, Dallas, TX 75231-5825 | 2020-04-30 |
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1710492772 | Kimberly Hunton | Pharmacist | 94 Memorial Ct, Dallas, GA 30132-4429 | 2017-12-12 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1104161678 | Hiral Patel | Pharmacist | 4500 S Lancaster Rd Bldg 7r119a, Dallas, TX 75216-7167 | 2012-12-10 |
| 1538419825 | Michael Edward Wright II | Pharmacist | 3500 Gaston Ave., Department of Pharmacy, Dallas, TX 75246 | 2012-09-13 |
| 1366709040 | Tammy Monk James | Pharmacist | 4700 Ross Ave, Dallas, TX 75204-4859 | 2012-04-18 |
| 1427354687 | Kunal Kaushik Patel | Pharmacist | 2901 Indiana Blvd, # 315, Dallas, TX 75226-1520 | 2011-02-07 |
| 1952557985 | Latonya Rena Menefee | Pharmacist | 4500 S Lancaster Rd Bldg 7, Dallas, TX 75216-7167 | 2008-08-11 |
| 1093314049 | Whitney Faith Barth | Pharmacist | 4901 Maple Ave, Dallas, TX 75235-8210 | 2020-10-21 |
| Find all providers in DALLAS | ||||
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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.