BOB WALLACE
NPI 1164055604
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Katy, TX

Active since February 12, 2020
22150 WESTHEIMER PKWY, KATY, TX 77450(281) 828-8778 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bob Wallace NPPES

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

BOB WALLACE (NPI 1164055604) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Katy, Texas, licensed in Texas (30292) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1164055604
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameBOB WALLACE
Location Address22150 WESTHEIMER PKWYKaty, TX 77450-8296
Mailing Address22150 Westheimer PkwyKaty, TX 77450-8296 · (281) 828-8778
Sole ProprietorYes
Enumeration DateFebruary 12, 2020
NPI 1164055604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in TX · 30292
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
22150 WESTHEIMER PKWY, Katy, TX 77450

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
22150 WESTHEIMER PKWY
KATY, TX 77450
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
22150 WESTHEIMER PKWY
KATY, TX 77450
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
22150 WESTHEIMER PKWY
KATY, TX 77450

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 Bob Wallace's NPI number?

The NPI number for Bob Wallace is 1164055604. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Bob Wallace located?

Bob Wallace practices at 22150 Westheimer Pkwy, Katy, TX 77450. The listed phone number is (281) 828-8778.

What is Bob Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Bob Wallace was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.