CLARISSA WALLACE (NPI# 1780996314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780996314 |
| Entity Type | Individual |
| Full Name | CLARISSA WALLACE |
| Practice Address |
3300 Bee Cave Rd Ste 500 West Lake Hills TX 78746-6770 |
| Mailing Address |
3663 Briarpark Dr Houston TX 77042-5205 |
| Practice Telephone | 5123297408 |
| Practice Fax Number | 5123297411 |
| Mailing Telephone | 7132683630 |
| Mailing Fax Number | 6238691717 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 40012 | TX | Pharmacy Service Providers |
| Street Address |
3300 BEE CAVE RD STE 500 |
| City | WEST LAKE HILLS |
| State | TX |
| Zip Code | 78746-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790714764 | Randalls Food & Drugs Lp | Pharmacy | 3300 Bee Cave Rd Ste 500, West Lake Hills, TX 78746-6770 | 2006-07-02 |
| 1407194707 | William Steele Jr. | Pharmacist | 3300 Bee Cave Rd Ste 500, West Lake Hills, TX 78746-6770 | 2013-01-21 |
| 1285946814 | Kristy Solominsky | Pharmacist | 3300 Bee Cave Rd Ste 500, West Lake Hills, TX 78746-6770 | 2010-07-12 |
| 1396057949 | Travis Ray | Pharmacist | 3300 Bee Cave Rd Ste 500, West Lake Hills, TX 78746-6770 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| 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 |
|---|---|---|---|---|
| 1700127578 | David Richard Strauss | Pharmacist | 701 S Capital of Texas Hwy Bldg C, West Lake Hills, TX 78746-5256 | 2013-03-04 |
| 1619289840 | Royd E Malmstrom | Pharmacist | 701 S Highway Loop 360, West Lake Hills, TX 78746-5243 | 2010-07-02 |
| 1619949211 | Amy Renee Jones | Pharmacist | 5656 Bee Caves Rd Ste L315, West Lake Hills, TX 78746-5280 | 2006-02-07 |
| 1548627094 | Samuel Ho | Pharmacist | 701 S Capital of Texas Hwy, West Lake Hills, TX 78746-5243 | 2016-01-27 |
| 1316288780 | Cynthia Payne | Pharmacist | 701 S Capital of Texas Hwy, West Lake Hills, TX 78746-5243 | 2013-03-11 |
| 1407194707 | William Steele Jr. | Pharmacist | 3300 Bee Cave Rd Ste 500, West Lake Hills, TX 78746-6770 | 2013-01-21 |
| 1285946814 | Kristy Solominsky | Pharmacist | 3300 Bee Cave Rd Ste 500, West Lake Hills, TX 78746-6770 | 2010-07-12 |
| 1396057949 | Travis Ray | Pharmacist | 3300 Bee Cave Rd Ste 500, West Lake Hills, TX 78746-6770 | 2010-07-12 |
| 1710216536 | Purvi Patel | Pharmacist | 3700 Bee Caves Rd, West Lake Hills, TX 78746-5316 | 2009-12-08 |
| 1437487287 | Weston Vaughn Christen | Pharmacist | 3700 Bee Caves Rd, West Lake Hills, TX 78746-5316 | 2009-12-04 |
| Find all providers in WEST LAKE HILLS | ||||
| City | WEST LAKE HILLS |
| Zip Code | 78746 |
Please comment or provide details below to improve the information on CLARISSA 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.