1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Pharmacist
  6. NPI Profile

THADDAEUS WALLACE PHARMD
NPI 1033069448
Pharmacist - Oncology in Shreveport, LA

Active since February 03, 2026
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0852 Get Directions Write a Review

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

About Thaddaeus Wallace Pharmd NPPES

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

THADDAEUS WALLACE PHARMD (NPI 1033069448) is an individual oncology provider in Shreveport, Louisiana, licensed in Louisiana (018835) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1033069448
Entity TypeIndividualMale
Primary Taxonomy1835X0200X
Provider Legal NameTHADDAEUS WALLACECredential: PHARMD
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-0852
Phone(318) 626-0852
Sole ProprietorNo
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1033069448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · OncologyPharmacy Service Providers
Taxonomy Code1835X0200X
License✔ Licensed in LA · 018835
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
1501 KINGS HWY, Shreveport, LA 71103
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
RYAN MORRIS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-2293
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053

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 Thaddaeus Wallace's NPI number?

The NPI number for Thaddaeus Wallace is 1033069448. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Thaddaeus Wallace located?

Thaddaeus Wallace practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0852.

What is Thaddaeus Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Oncology, with taxonomy code 1835X0200X.

When was this NPI record last updated?

The NPPES record for Thaddaeus Wallace was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.