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DR. JACK BROWNING WALLACE PHARM. D
NPI 1235424516
Pharmacist in Santa Cruz, CA

Active since June 14, 2011
901 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 426-4303 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Browning Wallace Pharm. D NPPES

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

DR. JACK BROWNING WALLACE PHARM. D (NPI 1235424516) is an individual pharmacist in Santa Cruz, California, licensed in California (33200) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1235424516
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JACK BROWNING WALLACECredential: PHARM. D
Location Address901 SOQUEL AVESanta Cruz, CA 95062-2122
Mailing Address151 Stephen Rd Apt BAptos, CA 95003-4667 · (831) 332-9593
Phone(831) 426-4303
Sole ProprietorYes
Enumeration DateJune 14, 2011
✔ NPI 1235424516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 33200
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.
901 SOQUEL AVE, Santa Cruz, CA 95062
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Other Providers at the Same Location NPPES 2

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

CINDY JEEHYE PARK
Pharmacist
901 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-4303
HUNTER RAY GHIOTTI
Pharmacy Technician
901 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-4303

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 Jack Wallace's NPI number?

The NPI number for Jack Wallace is 1235424516. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Jack Wallace located?

Jack Wallace practices at 901 Soquel Ave, Santa Cruz, CA 95062. The listed phone number is (831) 426-4303.

What is Jack Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Wallace was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.