STEPHANIE A WALLGREN PHARM.D.
NPI 1578859989
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Eglin Afb, FL

Active since June 23, 2011
4315 EL SALVADOR WAY, 7TH SFG TMDC, EGLIN AFB, FL 32542(850) 885-7555 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie A Wallgren Pharm.d. NPPES

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

STEPHANIE A WALLGREN PHARM.D. (NPI 1578859989) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Eglin Afb, Florida, licensed in North Carolina (21125) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1578859989
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameSTEPHANIE A WALLGRENCredential: PHARM.D.
Location Address4315 EL SALVADOR WAY, 7TH SFG TMDCEglin Afb, FL 32542-1711
Mailing Address2836 Pear Orchard BlvdCrestview, FL 32539-5612
Sole ProprietorNo
Enumeration DateJune 23, 2011
Last NPPES UpdateJune 3, 2016
NPI 1578859989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in NC · 21125
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.
Also ListedPharmacistTaxonomy 183500000X · License 21125 (NC)
4315 EL SALVADOR WAY, Eglin Afb, FL 32542

Other Providers at the Same Location NPPES 5

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

Military/U.S. Coast Guard Pharmacy
4315 EL SALVADOR WAY, BUILDING 4315
EGLIN AFB, FL 32542
Physician Assistant (Medical)
4315 EL SALVADOR WAY
EGLIN, FL 32542
Dental Hygienist
4315 EL SALVADOR WAY
EGLIN AFB, FL 32542
Dental Hygienist
4315 EL SALVADOR WAY
EGLIN AFB, FL 32542
Emergency Medicine
4315 EL SALVADOR WAY
EGLIN AFB, FL 32542

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 Stephanie Wallgren's NPI number?

The NPI number for Stephanie Wallgren is 1578859989. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Stephanie Wallgren located?

Stephanie Wallgren practices at 4315 El Salvador Way 7th Sfg Tmdc, Eglin Afb, FL 32542. The listed phone number is (850) 885-7555.

What is Stephanie Wallgren'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 Stephanie Wallgren was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.