DR. ANDREW WALLACE


Address: 413 19th Street Ensley, Birmingham, AL 35218-1601
Phone: 2057874671

DR. ANDREW WALLACE (NPI# 1669960795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669960795
Entity Type Individual
Full Name DR. ANDREW WALLACE
Credential PHARMD, RPH
Practice Address 413 19th Street Ensley
Birmingham
AL 35218-1601
Mailing Address 1440 Oakridge Dr
Birmingham
AL 35242-3522
Practice Telephone 2057874671
Practice Fax Number 2057880450
Mailing Telephone 2054132297
Enumeration Date 2018-04-24
Last Update Date 2018-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 19116 AL Pharmacy Service Providers

Other Providers ANDREW WALLACE

NPI Name Taxonomy Address Enumeration
1255618278 Andrew Wallace Student in an Organized Health Care Education/Training Program 3822 Quitman St Unit 2, Denver, CO 80212-1488 2011-11-04
1134762842 Andrew Wallace Case Management 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 2019-10-25
1326580697 Andrew Wallace Physical Therapist 730 N Hamilton St, Spokane, WA 99202-2045 2016-11-17
1912361502 Andrew Nels Wallace Internal Medicine 1200 N Elm St, Greensboro, NC 27401-1004 2016-04-08
1205261468 Andrew Kelly Wallace Physical Therapy Assistant 6700 Nw 10th Pl, Gainesville, FL 32605-4213 2013-09-06
1740626654 Andrew Blake Wallace Radiology 510 S Kingshighway Blvd, Mallinckrodt Institue of Radiology, Saint Louis, MO 63110-1016 2013-05-18
1871880005 Andrew Wallace Physical Therapist 605 Rockmead Dr, Suite 200, Kingwood, TX 77339-2254 2011-07-08
1174856587 Andrew Anthony Wallace Sr. Counselor 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 2009-09-16

Office Location

Street Address 413 19TH STREET ENSLEY
City BIRMINGHAM
State AL
Zip Code 35218-1601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093866030 Gilmer Drug Company Inc. Pharmacy 413 19th Street Ensley, Ensley, Birmingham, AL 35218-1601 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069486 Andrea Lashon Lane Counselor 2008 21st Street, Ensley, AL 35218 2020-07-06
1407481559 Ashley Jasmine Pauldin Nurse Practitioner 2010 Avenue F Ensley, Birmingham, AL 35218 2020-03-10
1922194968 Rosalyn L Morgan Pediatrics 2010-avenue F, Birmingham, AL 35218 2006-10-05
1225546641 Sarah Elizabeth Guiler Nurse Practitioner 2010 Avenue F, Ensley, AL 35218 2018-01-19
1598764698 Leesha Michelle Ellis-cox Psychiatry & Neurology 1701 Avenue D, Birmingham, AL 35218-1532 2005-07-20
1659548444 Western Mental Health Center Inc Clinic/Center 1701 Avenue D, Birmingham, AL 35218-1532 2008-05-12
1972689032 Terrell Smith Dorman Social Worker 1701 Avenue D, Birmingham, AL 35218-1532 2006-10-31
1336224963 Wolfram Glaser Psychiatry & Neurology 1701 Avenue D, Birmingham, AL 35218-1532 2006-10-25
1881776649 Western Mental Health Center, Inc. Clinic/Center 1701 Avenue D, Birmingham, AL 35218-1532 2006-10-20
1558670810 Renal Treatment Centers- Southeast, Lp Clinic/Center 1809 Avenue H, Ensley, AL 35218-1542 2010-10-04
Find all providers in zip 35218

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083250443 Donna Parker Sappington Pharmacist 200 Cahaba Park Cir Ste 200, Birmingham, AL 35242-8114 2019-11-20
1669015624 Karen M Fleming Pharmacist 700 19th St S Rm 1101, Birmingham, AL 35233-1927 2019-10-23
1932754819 Robert Allen Jones Pharmacist 1308 Narrows Point Bnd, Birmingham, AL 35242-8676 2019-08-07
1104383272 Sarah Grace Betts Pharmacist 3009 Alisa Way, Birmingham, AL 35243-5321 2019-02-26
1770064321 Joyce Yerman Coyle Pharmacist 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 2018-08-22
1245719103 Amy Michelle Douglas Pharmacist 4907 Caldwell Mill Ln, Birmingham, AL 35242-4507 2018-08-11
1891271516 Stacey F Van Norman Pharmacist 2033 Forest Meadows Cir, Birmingham, AL 35242-3348 2018-07-16
1578058756 Darrow Gerrell Thomas Pharmacist 1004 Rue Maison Apt C, Birmingham, AL 35209-7252 2018-06-29
1457870487 Marilyn Bennett Pinson Pharmacist Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 2017-09-11
1669995882 Taylor Childress Pharmacist 700 19th St S # South, Birmingham, AL 35233-1927 2017-07-19
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35218

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Dataset Information

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.

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