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KRISTOPHER WALLER PHARMD
NPI 1477154649
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Louisville, KY

Active since November 04, 2020
3165 S 2ND ST, LOUISVILLE, KY 40208(502) 368-6153(502) 368-6832 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristopher Waller Pharmd NPPES

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

KRISTOPHER WALLER PHARMD (NPI 1477154649) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Louisville, Kentucky, licensed in Kentucky (021712) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1477154649
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameKRISTOPHER WALLERCredential: PHARMD
Location Address3165 S 2ND STLouisville, KY 40208-1446
Mailing Address3165 S 2nd StLouisville, KY 40208-1446
Phone(502) 368-6153
Fax(502) 368-6832
Sole ProprietorNo
Enumeration DateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1477154649 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 KY · 021712
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.
3165 S 2ND ST, Louisville, KY 40208
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Other Providers at the Same Location NPPES 10

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

MELISSA COLEMAN APRN
Nurse Practitioner (Family)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 309-4104
GITESH PATEL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (508) 368-6153
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 368-6153
ANNICA YVETTE SIZEMORE FNP
Nurse Practitioner (Family)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 689-0838
DASHINA BIBB APRN
Nurse Practitioner (Family)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 415-5627
JOY GIBSON
Nurse Practitioner (Family)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 883-7275
KIOSK MEDICINE KENTUCKY LLC
Nurse Practitioner (Family)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 883-7275
MRS. JESSICA ZOELLER APRN
Nurse Practitioner (Family)
3165 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 883-7275

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 Kristopher Waller's NPI number?

The NPI number for Kristopher Waller is 1477154649. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Where is Kristopher Waller located?

Kristopher Waller practices at 3165 S 2nd St, Louisville, KY 40208. The listed phone number is (502) 368-6153.

What is Kristopher Waller'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 Kristopher Waller was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.