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DR. TYSON WALLACE PHARM. D.
NPI 1982296877
Pharmacist in Gosnell, AR

Active since February 11, 2021
134 BEVILL AVE, GOSNELL, AR 72315(870) 751-9242(870) 751-9291 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tyson Wallace Pharm. D. NPPES

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

DR. TYSON WALLACE PHARM. D. (NPI 1982296877) is an individual pharmacist in Gosnell, Arkansas, licensed in Arkansas (PD09924) and active in the NPI registry since February 2021. He maintains a secondary practice location in Senath.

NPPES Registry Identity

NPI1982296877
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. TYSON WALLACECredential: PHARM. D.
Location Address134 BEVILL AVEGosnell, AR 72315
Mailing Address134 Bevill AveGosnell, AR 72315 · (870) 751-9242 · Fax (870) 751-9291
Phone(870) 751-9242
Fax(870) 751-9291
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1982296877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in AR · PD09924✔ Licensed in MO · 2007005629
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.

134 BEVILL AVE, Gosnell, AR 72315
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Secondary Practice Location 1

Location 1339 E Commercial StSenath, MO 63876-9238 · Phone (573) 738-2097 · Fax (573) 738-2233

Other Identifiers 1

Medicaid289547795AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Other Providers at the Same Location NPPES

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

GOSNELL DRUGS INC.
Pharmacy (Community/Retail Pharmacy)
134 BEVILL AVE
GOSNELL, AR 72315
Mississippi County (573) 559-5525

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 Tyson Wallace's NPI number?

The NPI number for Tyson Wallace is 1982296877. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Tyson Wallace located?

Tyson Wallace practices at 134 Bevill Ave, Gosnell, AR 72315. The listed phone number is (870) 751-9242.

What is Tyson Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

What insurance does Tyson Wallace accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Tyson Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyson Wallace was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.