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DR. SANDRA MARIE WALLACE PHARM.D.
NPI 1710910617
Pharmacist in Louisville, KY

Active since July 07, 2006
4501 OUTER LOOP, LOUISVILLE, KY 40219(502) 969-2837(502) 969-2856 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sandra Marie Wallace Pharm.d. NPPES

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

DR. SANDRA MARIE WALLACE PHARM.D. (NPI 1710910617) is an individual pharmacist in Louisville, Kentucky, licensed in Kentucky (012689) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710910617
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. SANDRA MARIE WALLACECredential: PHARM.D.
Location Address4501 OUTER LOOPLouisville, KY 40219-3856
Mailing Address205 Terry DrShepherdsville, KY 40165-7814 · (502) 543-9089
Phone(502) 969-2837
Fax(502) 969-2856
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 4, 2007
✔ NPI 1710910617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in KY · 012689
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.
4501 OUTER LOOP, Louisville, KY 40219
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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.

DR. ISRAEL CARDENAS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4501 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 969-2837
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
4501 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 969-2836

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 Sandra Wallace's NPI number?

The NPI number for Sandra Wallace is 1710910617. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Sandra Wallace located?

Sandra Wallace practices at 4501 Outer Loop, Louisville, KY 40219. The listed phone number is (502) 969-2837.

What is Sandra 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 Sandra Wallace was last updated on September 4, 2007. 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.