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MRS. TARA LEE COSTA-WALLACE PHARMD
NPI 1629224456
Pharmacist in Bristol, RI

Active since August 12, 2008
580 METACOM AVE, BRISTOL, RI 02809(401) 253-2723(401) 253-3980 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Tara Lee Costa-wallace Pharmd NPPES

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

MRS. TARA LEE COSTA-WALLACE PHARMD (NPI 1629224456) is an individual pharmacist in Bristol, Rhode Island, licensed in Rhode Island (RPH03692) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1629224456
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. TARA LEE COSTA-WALLACECredential: PHARMD
Location Address580 METACOM AVEBristol, RI 02809-5182
Mailing Address580 Metacom AveBristol, RI 02809-5182 · (401) 253-2723 · Fax (401) 253-3980
Phone(401) 253-2723
Fax(401) 253-3980
Sole ProprietorNo
Enumeration DateAugust 12, 2008
✔ NPI 1629224456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in RI · RPH03692
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.
580 METACOM AVE, Bristol, RI 02809
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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.

WALGREEN CO
Pharmacy
580 METACOM AVE
BRISTOL, RI 02809
Bristol County (401) 253-2723
MS. JENNIFER LYNN FERREIRA RPH
Pharmacist
580 METACOM AVE
BRISTOL, RI 02809
Bristol County (401) 253-2723

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 Tara Costa-wallace's NPI number?

The NPI number for Tara Costa-wallace is 1629224456. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Where is Tara Costa-wallace located?

Tara Costa-wallace practices at 580 Metacom Ave, Bristol, RI 02809. The listed phone number is (401) 253-2723.

What is Tara Costa-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 Tara Costa-wallace was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.