Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KRISTIE JACKSON WALLACE PHARMD
NPI 1154324861
Pharmacist - Pharmacotherapy in St Petersburg, FL

Q: What is Kristie Wallace's NPI number?

The NPI number for Kristie Wallace is 1154324861. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Q: What is Kristie Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

Q: When was this NPI record last updated?

The NPPES record for Kristie Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.

Active since May 27, 2005

499 LAGUNA DR, ST PETERSBURG, FL 33715(727) 542-1340(727) 865-6040 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Kristie Jackson Wallace Pharmd NPPES

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

DR. KRISTIE JACKSON WALLACE PHARMD (NPI 1154324861) is an individual pharmacotherapy provider in St Petersburg, Florida, licensed in Florida (PS27159) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1154324861

Entity TypeIndividualFemale

Primary Taxonomy1835P1200X

Provider Legal NameDR. KRISTIE JACKSON WALLACECredential: PHARMD

Location Address499 LAGUNA DRSt Petersburg, FL 33715-1842

Mailing Address585 Capri BlvdTreasure Island, FL 33706-2943 · (727) 363-4135

Phone(727) 542-1340

Fax(727) 865-6040

Sole ProprietorNo

Enumeration DateMay 27, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1154324861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers

Taxonomy Code1835P1200X

License✔ Licensed in FL · PS27159

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

499 LAGUNA DR, St Petersburg, FL 33715

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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 Kristie Wallace's NPI number?

The NPI number for Kristie Wallace is 1154324861. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Kristie Wallace located?

Kristie Wallace practices at 499 Laguna Dr, St Petersburg, FL 33715. The listed phone number is (727) 542-1340.

What is Kristie Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Kristie Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.