JEANETTE WALLACE RPH
NPI 1619344074
Pharmacist in Tacoma, WA

Active since September 01, 2015
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanette Wallace Rph NPPES

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

JEANETTE WALLACE RPH (NPI 1619344074) is an individual pharmacist in Tacoma, Washington, licensed in Washington (PH00015991) and active in the NPI registry since September 2015. She maintains a secondary practice location in Graham.

NPPES Registry Identity

NPI1619344074
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJEANETTE WALLACECredential: RPH
Location Address9040 JACKSON AVETacoma, WA 98431-6456
Mailing Address21508 107th Ave EGraham, WA 98338-6456 · (253) 653-8659
Sole ProprietorNo
Enumeration DateSeptember 1, 2015
Last NPPES UpdateJuly 29, 2019
NPI 1619344074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH00015991
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.
9040 JACKSON AVE, Tacoma, WA 98431

Secondary Practice Location 1

Location 121508 107th Ave EGraham, WA 98338-6456 · Phone (253) 653-8659

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Jeanette Wallace's NPI number?

The NPI number for Jeanette Wallace is 1619344074. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Jeanette Wallace located?

Jeanette Wallace practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.

What is Jeanette 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 Jeanette Wallace was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.