MRS. CAROL HENSHAW WALLACE PHARMACIST
NPI 1104107838
Pharmacist in Winchester, TN

Active since September 08, 2011
1201 DINAH SHORE BOULEVARD, BENNETTS PHARMACY, WINCHESTER, TN 37398(931) 967-2777(931) 967-1264 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 5, 2025, Jun 21, 2016 (2 updates tracked since 2016).

About Mrs. Carol Henshaw Wallace Pharmacist NPPES

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

MRS. CAROL HENSHAW WALLACE PHARMACIST (NPI 1104107838) is an individual pharmacist in Winchester, Tennessee, licensed in Tennessee (0000008424) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1104107838
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. CAROL HENSHAW WALLACECredential: PHARMACIST
Location Address1201 DINAH SHORE BOULEVARD, BENNETTS PHARMACYWinchester, TN 37398
Mailing AddressPo Box 70, Bennetts PharmacyWinchester, TN 37398 · (931) 967-2777 · Fax (931) 967-1264
Fax(931) 967-1264
Sole ProprietorYes
Enumeration DateSeptember 8, 2011
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1104107838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TN · 0000008424
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 8424 (TN)
1201 DINAH SHORE BOULEVARD, Winchester, TN 37398

Other Identifiers 1

Medicaid1534061TN

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
1201 DINAH SHORE BOULEVARD
WINCHESTER, TN 37398

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 Carol Wallace's NPI number?

The NPI number for Carol Wallace is 1104107838. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Carol Wallace located?

Carol Wallace practices at 1201 Dinah Shore Boulevard Bennetts Pharmacy, Winchester, TN 37398. The listed phone number is (931) 967-2777.

What is Carol Wallace's specialty?

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

What insurance does Carol Wallace accept?

Health plans from BlueCross BlueShield of Tennessee list Carol 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 Carol Wallace was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.