Mark Wallace, DOCTOR OF PHARMACY

ActiveIndividual ProviderPharmacist
NPI issued: October 6, 2011

Quick Facts

NPI Number
1205110434
TypeIndividual
StatusActive
SpecialtyPharmacist
Taxonomy183500000X — Pharmacist
Phone
(405) 330-6093
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1205110434)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 6, 2011)
Data source: CMS NPPES

Provider Overview

MARK WALLACE, DOCTOR OF PHARMACY is a Pharmacist provider based in Edmond, OK who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1205110434
Provider TypeIndividual Provider
GenderMale
CredentialDOCTOR OF PHARMACY
StatusActive
Enumeration DateOctober 6, 2011

Practice Location

CityEdmond
StateOK
ZIP Code73003
Phone(405) 330-6093

Specialties & Licenses

★ Primary
SpecialtyPharmacist
Taxonomy Code183500000X
License StateOK

Mailing Address

CityEdmond
StateOK
ZIP Code73003
Phone(405) 330-6093
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1205110434 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1205110434for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1205110434 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Pharmacist

Pharmacists are healthcare professionals who specialize in the correct preparation, dispensing, and clinical management of medications, ensuring safe and effective prescription use for patients.

📊
296,258
Pharmacist Providers in the US

Similar Providers in Edmond

Stephanie Harris, DPH

📍 Edmond, OK 73034-6327

Roger Grosz, B.S

📍 Edmond, OK 73003-7059

Sheri Stoner, PHARMD

📍 Edmond, OK 73013-3023

Susan Isaacs, D.PH

📍 Edmond, OK 73034-6302

Lee Gile, D.PH

📍 Edmond, OK 73034

Shanda Jackson

📍 Edmond, OK 73034-6444

Other Healthcare Providers in Edmond

Joint Technology Inc

Specialty not listed

Michael John, MD

Dermatology

Britton Vision Associates Inc

Ophthalmology

Brian Morgan, M.D

Ophthalmology

Larry Henry, O.D

Optometry

Bradley Britton, M.D

Ophthalmology

People Also Ask

What is Mark Wallace's NPI number?
Mark Wallace's NPI number is 1205110434, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Wallace's NPI currently active?
Yes, Mark Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Mark Wallace specialize in?
Mark Wallace specializes in Pharmacist. The healthcare taxonomy code associated with this specialty is 183500000X.
Where does Mark Wallace practice?
Mark Wallace practices in Edmond, OK 73003.
When was Mark Wallace's NPI issued?
Mark Wallace's NPI was issued on October 6, 2011.
What is Mark Wallace's provider type?
Mark Wallace is registered as an Individual Provider under CMS NPI Type 1.