KOLE WALLACE
NPI 1760039192
Pharmacist in Mansfield, OH

Active since August 21, 2019
1009 PARK AVE W, MANSFIELD, OH 44906(419) 525-7300 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kole Wallace NPPES

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

KOLE WALLACE (NPI 1760039192) is an individual pharmacist in Mansfield, Ohio, licensed in Ohio (03439126) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1760039192
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKOLE WALLACE
Location Address1009 PARK AVE WMansfield, OH 44906-2809
Mailing Address426 Chevy Chase RdMansfield, OH 44907-1547 · (937) 573-7039
Sole ProprietorNo
Enumeration DateAugust 21, 2019
NPI 1760039192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OH · 03439126
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.
1009 PARK AVE W, Mansfield, OH 44906

Other Providers at the Same Location NPPES 3

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

Pharmacist
1009 PARK AVE W
MANSFIELD, OH 44906
Pharmacy (Community/Retail Pharmacy)
1009 PARK AVE W
MANSFIELD, OH 44906
Pharmacist
1009 PARK AVE W
MANSFIELD, OH 44906

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 Kole Wallace's NPI number?

The NPI number for Kole Wallace is 1760039192. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Kole Wallace located?

Kole Wallace practices at 1009 Park Ave W, Mansfield, OH 44906. The listed phone number is (419) 525-7300.

What is Kole 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 Kole Wallace was last updated on August 21, 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.