THOMAS DANVILLE WALLACE (NPI# 1265787147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265787147 |
| Entity Type | Individual |
| Full Name | THOMAS DANVILLE WALLACE |
| Credential | CPHT |
| Practice Address |
215 Dexter L Woods Memorial Blvd Waynesboro TN 38485-2416 |
| Mailing Address |
501 Highway 64 W Waynesboro TN 38485-2355 |
| Practice Telephone | 9317225466 |
| Mailing Telephone | 9317223605 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 37742 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021696 | Thomas R Wallace | Ophthalmology | 211 Mcauley Ct, Hot Springs, AR 71913-6314 | 2005-05-27 |
| 1316547342 | Thomas E Wallace IIi | Pharmacist | 1571 Forest Ave, Staten Island, NY 10302-2226 | 2020-10-28 |
| 1023499217 | Thomas Wallace | Massage Therapist | 17205 Vashon Hwy Sw, Suite B2, Vashon, WA 98070-4674 | 2015-06-12 |
| 1275945354 | Thomas Wallace Jr. | Counselor | 1646 S Court St, Visalia, CA 93277-4962 | 2014-05-23 |
| 1386789147 | Thomas W Wallace | Psychiatry & Neurology | 180 Grand Ave Ste 100, Oakland, CA 94612-3766 | 2007-02-20 |
| 1801942933 | Thomas Clyde Wallace | Psychiatry & Neurology | 10 Congress St, Suite 360, Pasadena, CA 91105-3023 | 2007-01-25 |
| 1679641666 | Thomas M Wallace | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-11-30 |
| 1295807733 | Thomas Witherspoon Wallace | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2006-11-13 |
| 1639251416 | Thomas A Wallace | Social Worker | 254 N Washington St, Falls Church, VA 22046-4517 | 2006-10-20 |
| 1811089006 | Thomas K Wallace | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-09-28 |
| Street Address |
215 DEXTER L WOODS MEMORIAL BLVD |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821054289 | Duren Clinical Services, LLC | Pharmacy | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2006-04-25 |
| 1962916320 | Jay Dee Glass | Pharmacist | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2017-11-21 |
| 1982150413 | Jacqueline Deiley | Pharmacist | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2016-08-25 |
| 1114377306 | Lindsey Lauren Benson | Pharmacist | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2016-06-17 |
| 1083960504 | Macon Devaughn Carroll | Pharmacist | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2012-08-02 |
| 1407132947 | Angeline Agnes Casteel | Pharmacy Technician | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2011-10-28 |
| 1689806366 | Rachel Larae Boone | Pharmacist | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2009-08-14 |
| 1043414295 | Kristeen Michelle Duren | Dietitian, Registered | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2007-06-12 |
| 1376638015 | Jeffrey Mcclain Duren | Pharmacist | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780074484 | Megan Hewitt | Pharmacy Technician | 811 Town Center Dr, Waynesboro, VA 22980-9262 | 2015-02-02 |
| 1861882706 | Adrian Nedrow | Pharmacy Technician | 811 Town Center Dr, Waynesboro, VA 22980-9262 | 2015-01-30 |
| 1407132947 | Angeline Agnes Casteel | Pharmacy Technician | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425283 | Denisha N Golston | Pharmacy Technician | 1900 Belmont Blvd Apt T6, Nashville, TN 37212-3758 | 2020-04-16 |
| 1356824825 | Sharonda Bealer | Pharmacy Technician | 1661 International Place Dr Ste 150, Memphis, TN 38120-1432 | 2018-09-11 |
| 1124532478 | Vanessa Butterfly Denham | Pharmacy Technician | 5461 Blue Oak Dr, Chattanooga, TN 37416-1650 | 2017-11-24 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1396175907 | Niravkumar Patel | Pharmacy Technician | 7910 Regatta Dr, Apt 102, Cordova, TN 38016-1337 | 2013-11-18 |
| 1356774152 | Teri Jo Teague | Pharmacy Technician | 205 Millstone Cir, Clarksville, TN 37042-5931 | 2013-08-15 |
| 1134492713 | Sandra Denise Godsey | Pharmacy Technician | 635 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2012-02-13 |
| 1316224850 | Shirley Carol Gilbert | Pharmacy Technician | 2045 Us Highway 45 Byp S, Trenton, TN 38382-2940 | 2011-11-11 |
| 1447537550 | Jason Ivory Taylor | Pharmacy Technician | 3333 E.shelby Dr., Memphis, TN 38105-4510 | 2011-11-03 |
| 1003190828 | Shantera L Childs | Pharmacy Technician | 3595 Lucy Rd, Millington, TN 38053-7807 | 2011-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
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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.