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BRIANNA MARIE WALLACE PHARMD
NPI 1649986555
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Evergreen Park, IL

Active since January 24, 2023
8700 S KEDZIE AVE, EVERGREEN PARK, IL 60805(708) 499-8051 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brianna Marie Wallace Pharmd NPPES

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

BRIANNA MARIE WALLACE PHARMD (NPI 1649986555) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Evergreen Park, Illinois, licensed in Illinois (051.304975) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1649986555
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameBRIANNA MARIE WALLACECredential: PHARMD
Location Address8700 S KEDZIE AVEEvergreen Park, IL 60805-1024
Mailing Address12349 S Meade AvePalos Heights, IL 60463-1834 · (708) 843-1861
Phone(708) 499-8051
Sole ProprietorNo
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1649986555 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 IL · 051.304975
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.
8700 S KEDZIE AVE, Evergreen Park, IL 60805
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Other Providers at the Same Location NPPES 6

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

ASMAA IBRAHIM MUSTAFA
Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (708) 499-8051
WALGREEN CO
Pharmacy
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (760) 771-1526
WALGREEN CO.
Clinical Medical Laboratory
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (708) 499-8051
AHMAD SALEH AHMAD
Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (708) 499-8051
MR. CARL ANTHONY FABISZAK RPH
Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (708) 499-8051
JAMAL JEBREAL
Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (708) 499-8051

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 Brianna Wallace's NPI number?

The NPI number for Brianna Wallace is 1649986555. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Brianna Wallace located?

Brianna Wallace practices at 8700 S Kedzie Ave, Evergreen Park, IL 60805. The listed phone number is (708) 499-8051.

What is Brianna Wallace'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 Brianna Wallace was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.