What is Thaddaeus Wallace's NPI number?

Thaddaeus Wallace's National Provider Identifier (NPI) is 1033069448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Thaddaeus Wallace's specialty?

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

Where is Thaddaeus Wallace located?

Thaddaeus Wallace's practice location on file with NPPES is 1501 Kings Hwy, Shreveport, LA 71103-4228.

What is Thaddaeus Wallace's phone number?

The practice phone number listed in the NPPES registry for Thaddaeus Wallace is (318) 626-0852.

Is Thaddaeus Wallace's NPI active?

Yes — Thaddaeus Wallace's NPI (1033069448) is active in the NPPES registry as of the last update on 2026-02-03.

IndividualActive

Thaddaeus Wallace, PHARMD

NPI 1033069448 · Oncology Pharmacist · Shreveport, LA

Thaddaeus Wallace, PHARMD is a Oncology Pharmacist provider in Shreveport, LA (NPI 1033069448).

Provider details

NPI number: 1033069448
Entity type: Individual
Primary specialty: Oncology PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 018835 (LA)

Specialties & taxonomies

Oncology PharmacistPrimary1835X0200XLicense 018835 (LA)
Pharmacy Service Providers

Profile Score

Established profile(53/100 index)

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

Registry tenure38% of score
Under 1 yr in 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

1501 Kings Hwy

Shreveport, LA 71103-4228

Phone: (318) 626-0852

Street-level locationGet directions

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Mailing address