THERESA MARIE WALLACE (NPI# 1124688445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124688445 |
| Entity Type | Individual |
| Full Name | THERESA MARIE WALLACE |
| Credential | PHARM D |
| Practice Address |
2701 S Minnesota Ave Ste 1 Sioux Falls SD 57105-4787 |
| Practice Telephone | 6053672800 |
| Mailing Telephone | 6053672800 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6685 | SD | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5500 W 41st St, Sioux Falls, SD 571061009 | 6053672000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013498039 | Theresa Wallace | Home Health Aide | 1200 Ac Evans St Apt 2, Riviera Beach, FL 33404-2063 | 2018-08-27 |
| 1063947018 | Theresa Wallace | Home Health Aide | 2201 1/2 Roslyn Ave, Apt 203, Baltimore, MD 21216-2522 | 2017-04-27 |
| 1497096333 | Theresa Wallace | Behavioral Analyst | 147-26 18th Ave, Whitestone, NY 11357-3108 | 2013-03-01 |
| 1467990572 | Theresa Marie Wallace | Licensed Vocational Nurse | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2017-02-09 |
| 1578627931 | Theresa Wallace | Physical Therapist | 8833 Gross Point Rd, Skokie, IL 60077-1859 | 2006-12-20 |
| 1801842091 | Theresa C Wallace | Family Medicine | 95 Madison Ave, Suite 101, Morristown, NJ 07960 | 2006-05-26 |
| Street Address |
2701 S MINNESOTA AVE STE 1 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770664708 | Heather Rae Storey | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4746 | 2006-10-17 |
| 1730788571 | William Ladwig | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4746 | 2020-10-22 |
| 1265086904 | Amanda Smith | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4746 | 2019-07-31 |
| 1770145369 | Katie Jo Ferguson | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4787 | 2019-07-03 |
| 1760040638 | Allison Bruscher | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4787 | 2019-06-04 |
| 1053979427 | Kenton Arnold Welbig | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4787 | 2019-05-31 |
| 1487147641 | Morgan Mathieu | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4746 | 2018-06-12 |
| 1528597473 | Patrick Douglas Warman | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4746 | 2017-06-05 |
| 1790136737 | Colton Bass | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4746 | 2016-06-30 |
| 1992189476 | Kristen Gruis | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4746 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 |
|---|---|---|---|---|
| 1003429713 | Jennifer Bergan | Pharmacist | 4509 S Prince of Peace Pl, Sioux Falls, SD 57103-5830 | 2020-08-24 |
| 1144715830 | Keaton Mark Moffitt | Pharmacist | 708 S Riverward Dr, Sioux Falls, SD 57106-4604 | 2018-06-26 |
| 1992299879 | Aaron Troy Zieske | Pharmacist | 7620 S Beal Ave, Sioux Falls, SD 57108-4993 | 2018-06-14 |
| 1538652466 | Kara Benson | Pharmacist | 4424 W Kinsley Pl, Sioux Falls, SD 57108-5452 | 2018-06-14 |
| 1912350331 | Dylan Stoebner | Pharmacist | 2201 W 6th St, Apt. #212, Sioux Falls, SD 57104-5860 | 2016-07-20 |
| 1083061493 | Jeff Meyer | Pharmacist | 7704 W 32nd St, Sioux Falls, SD 57106-5133 | 2016-05-16 |
| 1679957146 | Cassie Heisinger | Pharmacist | 5100 S Nevada Ave Apt 216, Sioux Falls, SD 57108-2282 | 2015-07-15 |
| 1497139273 | Sara Gossen | Pharmacist | 500 W 41st St, Sioux Falls, SD 57105-6402 | 2015-07-12 |
| 1811370745 | Else Umbreit | Pharmacist | 300 Cherapa Pl Ste 201, Sioux Falls, SD 57103-2272 | 2015-07-09 |
| 1225422603 | Joel Engle | Pharmacist | 2305 E 54th St, Sioux Falls, SD 57103-5422 | 2015-03-24 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.