Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNIS HAL WALLACE JR. RPH
NPI 1811981939
Pharmacist in Harrisburg, IL

Active since September 02, 2005
303 S COMMERCIAL ST, PARKER PLAZA, HARRISBURG, IL 62946(618) 253-7621(618) 252-7455 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kennis Hal Wallace Jr. Rph NPPES

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

KENNIS HAL WALLACE JR. RPH (NPI 1811981939) is an individual pharmacist in Harrisburg, Illinois and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1811981939
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKENNIS HAL WALLACE JR.Credential: RPH
Location Address303 S COMMERCIAL ST, PARKER PLAZAHarrisburg, IL 62946-2125
Mailing Address303 S Commercial St, Parker PlazaHarrisburg, IL 62946-2125 · (618) 253-7621 · Fax (618) 252-7455
Fax(618) 252-7455
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1811981939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
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.
303 S COMMERCIAL ST, Harrisburg, IL 62946

Other Identifiers 1

Medicaid370921467001IL

Other Providers at the Same Location NPPES 8

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

Massage Therapist
303 S COMMERCIAL ST, STE10
HARRISBURG, IL 62946
Massage Therapist
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946
Chiropractor
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946
Family Medicine
303 S COMMERCIAL ST
HARRISBURG, IL 62946
Massage Therapist
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946
Specialist/Technologist (Athletic Trainer)
303 S COMMERCIAL ST, SUITE 10
HARRISBURG, IL 62946
Podiatrist
303 S COMMERCIAL ST
HARRISBURG, IL 62946
Family Medicine (Sports Medicine)
303 S COMMERCIAL ST, STE 10
HARRISBURG, IL 62946

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 Kennis Wallace's NPI number?

The NPI number for Kennis Wallace is 1811981939. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Kennis Wallace located?

Kennis Wallace practices at 303 S Commercial St Parker Plaza, Harrisburg, IL 62946. The listed phone number is (618) 253-7621.

What is Kennis 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 Kennis Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.