MATTHEW WALLACE


Address: 3200 St. Paul St, Baltimore, MD 21218
Phone: 4017651500

MATTHEW WALLACE (NPI# 1841746096) 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) 1841746096
Entity Type Individual
Full Name MATTHEW WALLACE
Practice Address 3200 St. Paul St
Baltimore
MD 21218
Practice Telephone 4017651500
Enumeration Date 2016-08-28
Last Update Date 2016-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 24391 MD Pharmacy Service Providers

Other Providers MATTHEW WALLACE

NPI Name Taxonomy Address Enumeration
1427321041 Matthew Alexander Wallace Physician Assistant 7497 Bernard Dr, Temperance, MI 48182-1552 2012-02-13
1609012731 Matthew Tristan Wallace Orthopaedic Surgery 701 Kingston Rd, Baltimore, MD 21212-1939 2008-12-19
1760426258 Matthew Edwin Wallace Specialist/Technologist Creighton Uniuversity, 2500 California Plaza, Omaha, NE 68178-0001 2006-06-15
1356329114 Matthew K Wallace Orthopaedic Surgery 212 E Central Ave Ste 140, Spokane, WA 99208-6289 2006-01-03
1881177806 Matthew Evan Wallace Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103-9000 2018-09-14
1255867784 Matthew Malone Wallace Student in an Organized Health Care Education/Training Program 1250 E Marshall St, Richmond, VA 23298 2017-05-03
1841638897 Matthew William Wallace Emergency Medicine 2815 South Seacrest Blvd, Gme Suite Lower Level B, Boynton Beach, FL 33435 2013-06-12
1861706145 Matthew Seymour Wallace Dentist 63 Geiger Rd, Rome, NY 13441-4324 2010-07-29
1487679627 Matthew Brevard Wallace IIi Family Medicine 1200 Sunset Ln Ste 2210, Culpeper, VA 22701-3376 2006-07-12
1790740074 Matthew D Wallace Physical Therapist Hss Ancillary Services, PC, 85 College St, Hamilton, NY 13346 2006-04-19

Office Location

Street Address 3200 ST. PAUL ST
City BALTIMORE
State MD
Zip Code 21218

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851933725 Tierra Bouyer Speech-Language Pathologist 2040 East 32nd Street, Baltimore, MD 21218 2019-10-12
1093273559 Brenda H. Wells Social Worker 200 E. North Ave., Baltimore, MD 21218 2019-03-04
1619441011 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 2514 Greenmount Avenue, Baltimore, MD 21218 2019-01-18
1649740291 Elise Christine Starkey Occupational Therapist 801 Argonne Drive, Baltimore, MD 21218 2018-11-27
1851861421 Alagra S Bass Social Worker 1900 N. Howard Street Suite 300, Baltimore, MD 21218 2018-11-27
1396213575 Desiree Luerene Israel Social Worker 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 2018-11-06
1952885451 Harwood Behavioral Health Partners, LLC Clinic/Center 2514 Greenmount Ave, Baltimore, MD 21218 2018-09-20
1528548047 Rozi Khan Student in an Organized Health Care Education/Training Program 325 East University Pkwy 1-3, Bltimore, MD 21218 2018-08-14
1558866202 Prabij N/a Dhungana Student in an Organized Health Care Education/Training Program 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 2018-03-26
1588163562 Generation 5 Healthcare, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 707 Belgian Ave., Baltimore, MD 21218 2018-02-06
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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
1588265623 Michael Tyler Lundy Pharmacist 7920 Belair Rd, Baltimore, MD 21236-3706 2020-11-05
1780291112 Simon K Muraguri Pharmacist 1403 E Cold Spring Ln Ste B, Baltimore, MD 21239-3913 2020-09-29
1124633425 Kalev G Latova Pharmacist 6506 Gardenwick Rd, Baltimore, MD 21209-2538 2020-09-14
1083258024 Alan Shen Lin Pharmacist 250 President St Unit 1001, Baltimore, MD 21202-4440 2019-11-02
1427699560 Chelsea Niemah Ray Pharmacist 4140 E Joppa Rd, Baltimore, MD 21236-2223 2019-09-30
1881240802 Waleed Mazhar Khan Pharmacist 29-31 Sipping Pl, Baltimore, MD 21222 2019-08-15
1780240325 George Desales Garmer Pharmacist 2772 Lighthouse Pt E Unit 415, Baltimore, MD 21224-5048 2019-05-18
1679034292 Uyen Phuong Nguyen Pharmacist 1340 Smith Ave Ste A, Baltimore, MD 21209-3736 2019-03-27
1962979500 Jia K Allen Pharmacist 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 2018-11-01
1194291211 Brittney Brooks-grey Pharmacist 3507 Brendan Ave, Baltimore, MD 21213-1905 2018-10-16
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21218

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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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