DR. PAUL WAYNE WALLACE (NPI# 1629054598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629054598 |
| Entity Type | Individual |
| Full Name | DR. PAUL WAYNE WALLACE |
| Credential | PHARMD |
| Practice Address |
315 Mlk Way Tacoma WA 98405 |
| Mailing Address |
2406 N 31st St Tacoma WA 98407-6443 |
| Practice Telephone | 2534033229 |
| Practice Fax Number | 2534031122 |
| Mailing Telephone | 2537522532 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00050858 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265991335 | Paul Michael Wallace | Psychiatry & Neurology | 401 Parnassus Ave, San Francisco, CA 94143-0984 | 2019-03-18 |
| 1669794764 | Paul John Wallace | Pharmacist | 1993 Dickerson Blvd, Monroe, NC 28110-2795 | 2010-02-17 |
| 1548444318 | Paul S Wallace | Licensed Practical Nurse | 513 Se Quapaw, Bartlesville, OK 74003 | 2007-12-28 |
| 1114044799 | Paul David Wallace | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2007-03-26 |
| 1770649741 | Paul D Wallace | Dentist | 8305 Walnut Hill Ln, Suite 235, Dallas, TX 75231-4217 | 2006-12-27 |
| 1639287212 | Paul Wallace | Internal Medicine | 3400 Spruce St, 5 Maloney, Philadelphia, PA 19104-4238 | 2006-08-25 |
| 1306875869 | Paul R. Wallace | Family Medicine | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2006-06-30 |
| 1063494474 | Paul Wesley Wallace | Dermatology | 8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211-2007 | 2005-11-19 |
| Street Address |
315 MLK WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1275008070 | Kristi Anne Escalante | Pharmacist | 2368 Yakima Ave Unit 714, Tacoma, WA 98405-3966 | 2018-10-08 |
| 1851890180 | Chae Yun Kim | Pharmacist | 1902 96th St S, Tacoma, WA 98444-2808 | 2018-02-01 |
| 1407367980 | Heather Tilley | Pharmacist | 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933 | 2017-10-23 |
| 1477097756 | Debra M Hines | Pharmacist | 9040a Jackson, Tacoma, WA 98431-0001 | 2016-12-06 |
| 1154879575 | Min Shim | Pharmacist | 3806 E L St, Tacoma, WA 98404-3735 | 2016-09-14 |
| 1689129413 | Amanda Nguyen | Pharmacist | 1901 S Union Ave Ste A252, Tacoma, WA 98405-1713 | 2016-08-22 |
| 1649659301 | Shirley So | Pharmacist | 315 Mlk. Jr Way, Tacoma, WA 98405-9997 | 2015-05-27 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1972995967 | Tuyen Huynh | Pharmacist | 1608 South J St, Tacoma, WA 98405 | 2015-02-27 |
| 1396134060 | Chun Choi | Pharmacist | 13817 12th Ave S, Tacoma, WA 98444-2044 | 2015-01-17 |
| Find all providers in TACOMA | ||||
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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.