What is Micah Wallace's NPI number?

Micah Wallace's National Provider Identifier (NPI) is 1003241571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Micah Wallace's specialty?

Micah Wallace is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Micah Wallace located?

Micah Wallace's practice location on file with NPPES is 2152 Savannah Hwy, Charleston, SC 29414-5311.

What is Micah Wallace's phone number?

The practice phone number listed in the NPPES registry for Micah Wallace is (843) 556-8974.

Is Micah Wallace's NPI active?

Yes — Micah Wallace's NPI (1003241571) is active in the NPPES registry as of the last update on 2013-09-03.

IndividualActive

Micah Wallace, PHARM.D.

NPI 1003241571 · Pharmacist · Charleston, SC

Micah Wallace, PHARM.D. is a Pharmacist provider in Charleston, SC (NPI 1003241571).

Provider details

NPI number: 1003241571
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARM.D.
Sex: Male
Sole proprietor: No
License: 14060 (SC)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 14060 (SC)
Pharmacy Service Providers
Pharmacist183500000XLicense 36630 (TN)
Pharmacy Service Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2152 Savannah Hwy

Charleston, SC 29414-5311

Phone: (843) 556-8974

Street-level locationGet directions

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Mailing address