What is Shanise Wallace's NPI number?

Shanise Wallace's National Provider Identifier (NPI) is 1114552445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shanise Wallace's specialty?

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

Where is Shanise Wallace located?

Shanise Wallace's practice location on file with NPPES is 3710 57th Ave, Kenosha, WI 53144-4820.

What is Shanise Wallace's phone number?

The practice phone number listed in the NPPES registry for Shanise Wallace is (262) 652-1474.

Is Shanise Wallace's NPI active?

Yes — Shanise Wallace's NPI (1114552445) is active in the NPPES registry as of the last update on 2020-03-06.

IndividualActive

Shanise Wallace

NPI 1114552445 · Pharmacist · Kenosha, WI

Shanise Wallace is a Pharmacist provider in Kenosha, WI (NPI 1114552445).

Provider details

NPI number: 1114552445
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Female
Sole proprietor: Yes
License: 17696-40 (WI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 17696-40 (WI)
Pharmacy Service Providers

Profile Score

Established profile(64/100 index)

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

Registry tenure38% of score
6 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

3710 57th Ave

Kenosha, WI 53144-4820

Phone: (262) 652-1474

Street-level locationGet directions

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Mailing address