STEPHANIE LYNN WALLACE
NPI 1023619061
Pharmacist in Pikeville, KY

Active since November 05, 2020
254 CASSIDY BLVD, PIKEVILLE, KY 41501(606) 432-6180(606) 432-6182 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Lynn Wallace NPPES

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

STEPHANIE LYNN WALLACE (NPI 1023619061) is an individual pharmacist in Pikeville, Kentucky, licensed in Kentucky (011733) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1023619061
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTEPHANIE LYNN WALLACE
Location Address254 CASSIDY BLVDPikeville, KY 41501-1426
Mailing Address108 Sandy StPikeville, KY 41501-2002 · (606) 899-5738
Fax(606) 432-6182
Sole ProprietorYes
Enumeration DateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
NPI 1023619061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in KY · 011733
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.

254 CASSIDY BLVD, Pikeville, KY 41501

Other Providers at the Same Location NPPES 13

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

Optometrist
254 CASSIDY BLVD
PIKEVILLE, KY 41501
Optometrist
254 CASSIDY BLVD
PIKEVILLE, KY 41501
Pharmacist
254 CASSIDY BLVD
PIKEVILLE, KY 41501
Pharmacist
254 CASSIDY BLVD
PIKEVILLE, KY 41501
Clinic/Center
254 CASSIDY BLVD
PIKEVILLE, KY 41501
Pharmacist
254 CASSIDY BLVD
PIKEVILLE, KY 41501
Technician/Technologist (Optician)
254 CASSIDY BLVD
PIKEVILLE, KY 41501
Technician/Technologist (Optician)
254 CASSIDY BLVD
PIKEVILLE, KY 41501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023619061, enumerated as an "individual" on November 05, 2020.

The provider is located at 254 CASSIDY BLVD PIKEVILLE, KY 41501 and the phone number is (606) 432-6180.

Pharmacist with taxonomy code 183500000X.