DR. MICAH JORDAN WALLACE PHARM.D.
NPI 1003241571
Pharmacist in Charleston, SC

Active since September 03, 2013
2152 SAVANNAH HWY, CHARLESTON, SC 29414(843) 556-8974 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Micah Jordan Wallace Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICAH JORDAN WALLACE PHARM.D. (NPI 1003241571) is an individual pharmacist in Charleston, South Carolina, licensed in South Carolina (14060) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1003241571
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MICAH JORDAN WALLACECredential: PHARM.D.
Location Address2152 SAVANNAH HWYCharleston, SC 29414-5311
Mailing Address2152 Savannah HwyCharleston, SC 29414-5311 · (843) 556-8974
Sole ProprietorNo
Enumeration DateSeptember 3, 2013
NPI 1003241571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in SC · 14060 Licensed in TN · 36630
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.
2152 SAVANNAH HWY, Charleston, SC 29414

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2152 SAVANNAH HWY
CHARLESTON, SC 29414
Pharmacist
2152 SAVANNAH HWY
CHARLESTON, SC 29414
Pharmacist
2152 SAVANNAH HWY
CHARLESTON, SC 29414
Pharmacy
2152 SAVANNAH HWY
CHARLESTON, SC 29414
Pharmacist
2152 SAVANNAH HWY, ASHLEYTOWNE CENTER
CHARLESTON, SC 29414
Pharmacist
2152 SAVANNAH HWY
CHARLESTON, SC 29414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Wallace's NPI number?

The NPI number for Micah Wallace is 1003241571. It was assigned to this individual provider in the NPPES registry on September 3, 2013.

Where is Micah Wallace located?

Micah Wallace practices at 2152 Savannah Hwy, Charleston, SC 29414. The listed phone number is (843) 556-8974.

What is Micah Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Micah Wallace was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.