KENNEDE MARISSA WALLACE PHARMD
NPI 1033971197
Pharmacist in Charleston, SC

Active since January 24, 2024
51 NASSAU ST, CHARLESTON, SC 29403(843) 486-2084(843) 486-2084 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennede Marissa Wallace Pharmd NPPES

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

KENNEDE MARISSA WALLACE PHARMD (NPI 1033971197) is an individual pharmacist in Charleston, South Carolina, licensed in South Carolina (44219) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1033971197
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKENNEDE MARISSA WALLACECredential: PHARMD
Location Address51 NASSAU STCharleston, SC 29403-5513
Mailing Address51 Nassau StCharleston, SC 29403-5513 · (843) 486-2084 · Fax (843) 486-2084
Fax(843) 486-2084
Sole ProprietorYes
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1033971197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in SC · 44219
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.

51 NASSAU ST, Charleston, SC 29403

Accepted Insurance

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
51 NASSAU ST
CHARLESTON, SC 29403
Family Medicine
51 NASSAU ST
CHARLESTON, SC 29403
Pharmacist
51 NASSAU ST
CHARLESTON, SC 29403
Clinic/Center (Dental)
51 NASSAU ST
CHARLESTON, SC 29403
Dental Hygienist
51 NASSAU ST
CHARLESTON, SC 29403
Clinic/Center (Dental)
51 NASSAU ST
CHARLESTON, SC 29403
Family Medicine
51 NASSAU ST
CHARLESTON, SC 29403
Clinic/Center (Dental)
51 NASSAU ST
CHARLESTON, SC 29403

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 Kennede Wallace's NPI number?

The NPI number for Kennede Wallace is 1033971197. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Kennede Wallace located?

Kennede Wallace practices at 51 Nassau St, Charleston, SC 29403. The listed phone number is (843) 486-2084.

What is Kennede Wallace's specialty?

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

What insurance does Kennede Wallace accept?

Health plans from UnitedHealthcare list Kennede Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennede Wallace was last updated on January 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.