WILLIAM LEE WALLACE (NPI# 1528670361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528670361 |
| Entity Type | Individual |
| Full Name | WILLIAM LEE WALLACE |
| Practice Address |
308 S Main St Malvern AR 72104-3737 |
| Practice Telephone | 5014678197 |
| Practice Fax Number | 5014678662 |
| Mailing Telephone | 5014678197 |
| Mailing Fax Number | 5014678662 |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH07329 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500834 | William J Wallace Jr. | Chiropractor | 22415 Market St Apt 1406, Cornelius, NC 28031-3028 | 2019-10-18 |
| 1851740609 | William Robert Wallace | Internal Medicine | 20828 W Deer Ridge Dr, Warrenton, MO 63383-6548 | 2016-06-11 |
| 1093143745 | William Dean Wallace | Pathology | 747 W 4170 S, Murray, UT 84123-1364 | 2013-10-16 |
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1598028474 | William Todd Wallace | Physical Therapist | 8225 Coyote Trl, Texarkana, TX 75503-9657 | 2012-06-16 |
| 1184842627 | William Arthur Wallace Jr. | Surgery | 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 | 2007-04-22 |
| 1013087121 | William R Wallace | Chiropractor | 139 Morristown Rd, Bernardsville, NJ 07924-2606 | 2006-11-08 |
| 1508880493 | William C Wallace | Physical Therapist | 1113 N Castle Heights Ave, Suite D, Lebanon, TN 37087-5640 | 2006-07-26 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1225087562 | William E Wallace | Surgery | 2000 Ben Merritt Dr, Suite B, Decatur, TX 76234-3848 | 2006-05-06 |
| Street Address |
308 S MAIN ST |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943619 | Jamelyn Landes | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2020-08-18 |
| 1043650005 | Amber Elizabeth Prescott | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2013-07-04 |
| 1871847095 | Ray B Harrison | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2012-11-09 |
| 1386913010 | John R Tipton IIi | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2011-12-27 |
| 1376820126 | Holly Hibbs | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2011-11-08 |
| 1154607224 | Walgreens | Pharmacy | 308 S Main St, Malvern, AR 72104-3737 | 2011-11-02 |
| 1679859375 | Ronald Lynn Headley | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2011-10-25 |
| 1124198221 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 308 S Main St, Malvern, AR 72104-3737 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| 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 |
|---|---|---|---|---|
| 1417558909 | Lisa Marie Demarinis | Pharmacist | 526 E Mohawk Dr, Malvern, OH 44644-9505 | 2020-11-03 |
| 1154933950 | Samantha Pennington | Pharmacist | 1402 Mlk Blvd, Malvern, AR 72104-2105 | 2020-08-21 |
| 1063051696 | Justin Clark Jones | Pharmacist | 224 Harmony Acres Rd, Malvern, AR 72104-8017 | 2019-12-30 |
| 1285085209 | Joshua Daniel Robinson | Pharmacist | 509 Reyburn Creek Rd, Malvern, AR 72104-7602 | 2016-06-30 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1861806473 | Hoagam Nguyen | Pharmacist | 39 Landmark Dr, Malvern, PA 19355-2467 | 2014-06-12 |
| 1326257353 | Compounding Rx Apothecary | Pharmacist | 81 Lancaster Ave, Store #4, Malvern, PA 19355-2139 | 2007-05-22 |
| 1124231915 | Janis K Levit | Pharmacist | 75 Valley Stream Pkwy, Malvern, PA 19355-1406 | 2007-05-08 |
| 1104818772 | Kohlerman Pharmacy Inc | Pharmacist | 101 W King St, Malvern, PA 19355-2411 | 2005-08-18 |
| 1780284943 | Mike Denton | Pharmacist | 1910 Martin Luther King Blvd, Malvern, AR 72104-2203 | 2020-10-27 |
| Find all providers in MALVERN | ||||
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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.