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DR. JACOB TYLER WALLACE PHARMD
NPI 1427338169
Pharmacist in Shelby, NC

Active since August 25, 2011
201 W MARION ST STE 100, SHELBY, NC 28150(980) 552-4402(704) 831-8118 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Sep 21, 2021, Jan 13, 2017 (3 updates tracked since 2017).

About Dr. Jacob Tyler Wallace Pharmd NPPES

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

DR. JACOB TYLER WALLACE PHARMD (NPI 1427338169) is an individual pharmacist in Shelby, North Carolina, licensed in North Carolina (21863) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1427338169
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JACOB TYLER WALLACECredential: PHARMD
Location Address201 W MARION ST STE 100Shelby, NC 28150-5094
Mailing Address201 W Marion St Ste 100Shelby, NC 28150-5094 · (980) 552-4402 · Fax (704) 831-8118
Phone(980) 552-4402
Fax(704) 831-8118
Sole ProprietorYes
Enumeration DateAugust 25, 2011
Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1427338169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NC · 21863
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.
201 W MARION ST STE 100, Shelby, NC 28150
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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.

MONARCH
Community/Behavioral Health
201 W MARION ST STE 100
SHELBY, NC 28150
Cleveland County (704) 476-4027
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
201 W MARION ST STE 100
SHELBY, NC 28150
Cleveland County (253) 218-0830

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 Jacob Wallace's NPI number?

The NPI number for Jacob Wallace is 1427338169. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Jacob Wallace located?

Jacob Wallace practices at 201 W Marion St Ste 100, Shelby, NC 28150. The listed phone number is (980) 552-4402.

What is Jacob 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 Jacob Wallace was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.