DR. SANDRA MARIE WALLACE


Address: 4501 Outer Loop, Louisville, KY 40219-3856
Phone: 5029692837

DR. SANDRA MARIE WALLACE (NPI# 1710910617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710910617
Entity Type Individual
Full Name DR. SANDRA MARIE WALLACE
Credential PHARM.D.
Practice Address 4501 Outer Loop
Louisville
KY 40219-3856
Mailing Address 205 Terry Dr
Shepherdsville
KY 40165-7814
Practice Telephone 5029692837
Practice Fax Number 5029692856
Mailing Telephone 5025439089
Enumeration Date 2006-07-07
Last Update Date 2007-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 012689 KY Pharmacy Service Providers

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1245350172 Sandra V Wallace Registered Nurse 909 Alameda St, Norman, OK 73071-5229 2007-04-02
1235140930 Sandra Louise Wallace Internal Medicine 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 2006-08-10
1093748717 Sandra J. Wallace Occupational Therapist 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 2006-07-08

Office Location

Street Address 4501 OUTER LOOP
City LOUISVILLE
State KY
Zip Code 40219-3856

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376142208 Israel Cardenas Pharmacist 4501 Outer Loop, Louisville, KY 40219-3856 2020-10-21
1386678100 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 4501 Outer Loop, Louisville, KY 40219-3856 2006-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948154 Kathleen B Berghausen Nurse Practitioner 4112 Fern Valley Rod, Louisville, KY 40219 2020-09-25
1174165989 Joann Deborah Hobbs Nurse Practitioner 8216 Delido Rd, Louisville, KY 40219 2019-10-14
1962989319 Jennifer Lynn Pinkerton Hearing Instrument Specialist 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 2018-07-27
1942748447 Melissa Freeman Emanuele Speech-Language Pathologist 1550 Raydale Drive, Lousville, KY 40219 2017-02-03
1083014013 Christopher Maxey Specialist/Technologist Fern Valley Rd, Louisville, KY 40219 2014-08-27
1679985949 Antwan Turner Case Manager/Care Coordinator 5523 Saxon Blvd, Louisville, KY 40219 2014-05-21
1386055168 Kelly Larson Case Manager/Care Coordinator 6809 Bebe Ct., Louisville, KY 40219 2014-05-14
1639414626 Prettysmilesdenturesandmorellc Dentist 19123 West Mcnichols Rd, Detroit, MI 40219 2012-12-03
1881967701 Vickie Lynn Dixon Homemaker 3516 Templewood Dr., Louisville, KY 40219 2012-02-23
1811157555 Tonya Lynn Frost Chiropractor 4300 Outer Loop Ste 10, Louisville, KY 40219 2008-06-16
Find all providers in zip 40219

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578164315 Patricia Roberts Pharmacist 6903 Day Break Ct, Louisville, KY 40272-3896 2020-11-06
1457951170 Okey Patrick Mbadike Pharmacist 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 2020-10-30
1699372821 Patricia Bentz Pharmacist 12803 Dove Lake Dr, Louisville, KY 40299-8341 2020-10-01
1629684253 Kristen Sellers Webb Pharmacist 12356 Highway 15 S, Louisville, MS 39339-3700 2020-09-18
1922619840 Keaton Creed Pharmacist 9519 Golders Green Cir Unit 301, Louisville, KY 40229-1382 2020-08-13
1588274195 Katrina Kuban Pharmacist 900 Baxter Ave, Louisville, KY 40204-2047 2020-08-07
1144830829 Madion Olivia Poteet Pharmacist 3814 Breckenridge Ln, Louisville, KY 40218-2881 2020-08-06
1225647159 Mary Beth Ecken Pharmacist 1839 Lauderdale Rd, Louisville, KY 40205-1623 2020-07-27
1851917793 Leanne Nieters Pharmacist 2303 Manchester Rd, Louisville, KY 40205-3045 2020-06-16
1568082295 Amy Gostomski Pharmacist 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 2020-04-22
Find all providers in LOUISVILLE

Competitor

Search similar providers

City LOUISVILLE
Zip Code 40219

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Dataset Information

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.

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