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BRADFORD GEORGE WALLENBERG PHARM.D.
NPI 1598044000
Pharmacist in Sioux Falls, SD

Active since August 15, 2011
2605 W 12TH ST, SIOUX FALLS, SD 57104(605) 357-9359(605) 357-9496 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradford George Wallenberg Pharm.d. NPPES

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

BRADFORD GEORGE WALLENBERG PHARM.D. (NPI 1598044000) is an individual pharmacist in Sioux Falls, South Dakota, licensed in South Dakota (3941) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1598044000
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBRADFORD GEORGE WALLENBERGCredential: PHARM.D.
Location Address2605 W 12TH STSioux Falls, SD 57104-3816
Mailing Address2605 W 12th StSioux Falls, SD 57104-3816 · (605) 357-9359 · Fax (605) 357-9496
Phone(605) 357-9359
Fax(605) 357-9496
Sole ProprietorNo
Enumeration DateAugust 15, 2011
✔ NPI 1598044000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in SD · 3941
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.
2605 W 12TH ST, Sioux Falls, SD 57104
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Other Providers at the Same Location NPPES 4

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

NICOLE MARIE WELCH
Pharmacist
2605 W 12TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 357-9359
WALGREEN CO
Pharmacy
2605 W 12TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 357-9359
EDDY EKOBENA PHARMD
Pharmacist
2605 W 12TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 357-9359
JESS HAENSEL PHARMD
Pharmacist
2605 W 12TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 357-9359

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 Bradford Wallenberg's NPI number?

The NPI number for Bradford Wallenberg is 1598044000. It was assigned to this individual provider in the NPPES registry on August 15, 2011.

Where is Bradford Wallenberg located?

Bradford Wallenberg practices at 2605 W 12th St, Sioux Falls, SD 57104. The listed phone number is (605) 357-9359.

What is Bradford Wallenberg'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 Bradford Wallenberg was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.