IndividualActive
Kristie Meacheam Wallace, RPH
NPI 1093098063 · Pharmacist · Ozark, MO
Provider details
- NPI number
- 1093098063
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 044157 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2004 W Marler Ln
Ozark, MO 65721-7661
Phone: (417) 581-3288
Street-level locationGet directions
Mailing address
1039 E Maryland Ct
Springfield, MO 65810-2982
Registry dates
- Enumerated
- 2011-09-26
- Last updated
- 2016-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.