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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 19116 | AL | Pharmacy Service Providers |
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 |
Street Address |
413 19TH STREET ENSLEY |
City | BIRMINGHAM |
State | AL |
Zip Code | 35218-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093866030 | Gilmer Drug Company Inc. | Pharmacy | 413 19th Street Ensley, Ensley, Birmingham, AL 35218-1601 | 2007-01-16 |
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 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 |
---|---|---|---|---|
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 |
City | BIRMINGHAM |
Zip Code | 35218 |
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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.