STEPHANIE WALLACE (NPI# 1477943223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477943223 |
| Entity Type | Individual |
| Full Name | STEPHANIE WALLACE |
| Credential | PHARMD |
| Practice Address |
815 Cheyenne Meadows Rd Colorado Springs CO 80906-4929 |
| Practice Telephone | 7195271640 |
| Mailing Telephone | 7195271640 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 33624 | TN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 058853 | NY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0020679 | CO | Pharmacy Service Providers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0020679 | CO | Suppliers |
| 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 |
| 1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 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 |
| 1033533617 | Stephanie Wallace | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2014-02-18 |
| Street Address |
815 CHEYENNE MEADOWS RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407882756 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906 | 2006-06-25 |
| 1124577101 | Kathleen Daniels | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2016-10-01 |
| 1104372523 | Laura Betsayad | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2016-08-26 |
| 1972947323 | Trudie Lee Deville | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2013-04-28 |
| 1881037505 | Valerie A Smith | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2013-04-11 |
| 1992148621 | Peter Pavlick | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805067 | Uch-mhs | Pharmacy | 4050 Briargate Pkwy Rm C1318, Colorado Springs, CO 80920-7815 | 2018-09-18 |
| 1790029494 | Walmart Inc. | Pharmacy | 1622 S Academy Blvd, Colorado Springs, CO 80916-4521 | 2012-11-19 |
| 1205099850 | Dillon Companies LLC | Pharmacy | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918 | 2008-07-03 |
| 1992982755 | Printers Parkway Pharmacy, LLC | Pharmacy | 155 Printers Pkwy Ste 120, Colorado Springs, CO 80910-6100 | 2008-01-23 |
| 1912182726 | Costco Wholesale Corporation | Pharmacy | 5885 Barnes Rd, Colorado Springs, CO 80922 | 2007-12-31 |
| 1669663027 | Dillon Companies LLC | Pharmacy | 9225 N Union Blvd, Colorado Springs, CO 80920 | 2007-08-09 |
| 1063512309 | City Employee Pharmacy | Pharmacy | 30 S Nevada, Colorado Springs, CO 80903 | 2006-09-25 |
| 1588777288 | Catholic Health Initiatives Colorado | Pharmacy | 3030 N Cascade Ave, Colorado Springs, CO 80907-5108 | 2006-08-16 |
| 1558376897 | Walgreen Co | Pharmacy | 2785 Dublin Blvd, Colorado Springs, CO 80918-1360 | 2006-07-29 |
| 1376572321 | Safeway Inc | Pharmacy | 7655 N Union Blvd, Colorado Springs, CO 80920-3863 | 2006-07-02 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on STEPHANIE WALLACE.
| 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.