STEPHANIE LYNN WALLACE (NPI# 1023619061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023619061 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN WALLACE |
| Practice Address |
254 Cassidy Blvd Pikeville KY 41501-1426 |
| Mailing Address |
108 Sandy St Pikeville KY 41501-2002 |
| Practice Telephone | 6064326180 |
| Practice Fax Number | 6064326182 |
| Mailing Telephone | 6068995738 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 011733 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
| 1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
| 1841289022 | Stephanie R Wallace | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80918 | 2005-10-19 |
| 1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
| 1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
| 1427534718 | Stephanie E Wallace | Nurse Anesthetist, Certified Registered | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2018-07-19 |
| 1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
| 1477924082 | Stephanie Wallace | Physician Assistant | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2015-10-08 |
| 1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
| 1033533617 | Stephanie Wallace | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2014-02-18 |
| Street Address |
254 CASSIDY BLVD |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548287865 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2006-07-16 |
| 1740881788 | Stacy Michelle Chaffins | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1932582145 | Andrew Belcher | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2015-07-07 |
| 1104209725 | Autumn Lewis | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2015-06-30 |
| 1164851598 | Kimberly Cook | Nurse Practitioner | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2013-11-06 |
| 1750626271 | Reed Vision Pllc | Optometrist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2012-12-10 |
| 1306150156 | Meredith Jarvis Reed | Optometrist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2010-08-04 |
| 1629381306 | Rebecca L. Ramey | Nurse Practitioner | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2010-07-22 |
| 1710207865 | Pikeville Medical Center Inc. | Physician Assistant | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2010-06-10 |
| 1346325578 | Stephanie Danielle Baker | Nurse Practitioner | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| 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 |
|---|---|---|---|---|
| 1790328706 | Courtney Nicole Wright | Pharmacist | 6758 Us Highway 23 S Ste 7, Pikeville, KY 41501-3724 | 2019-10-22 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1861875478 | Robert Edmonds | Pharmacist | 4209 N Mayo Trl, Pikeville, KY 41501-3210 | 2015-06-30 |
| 1144602145 | Jodie Hudson | Pharmacist | 4700 Us Highway 117 N, Pikeville, NC 27863-9580 | 2015-06-25 |
| 1144614827 | Richard Goff | Pharmacist | 38 Rose St, Pikeville, KY 41501-7518 | 2015-03-20 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1821378050 | Rachel Hunt | Pharmacist | 3499 Main Street, Pikeville, TN 37367-0742 | 2011-08-19 |
| 1336430271 | Christy Ann Bartley | Pharmacist | 5571 Collins Hwy, Pikeville, KY 41501-6846 | 2011-04-26 |
| 1205073533 | Christi S Ratliff | Pharmacist | 5571 Collins Highway, Pikeville, KY 41502-3036 | 2009-01-08 |
| 1306099072 | Cindy F Crutchfield | Pharmacist | 3499 Main St, Pikeville, TN 37367 | 2008-10-28 |
| Find all providers in PIKEVILLE | ||||
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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.