What is Larique Wallace's NPI number?

Larique Wallace's National Provider Identifier (NPI) is 1114592714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larique Wallace's specialty?

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

Where is Larique Wallace located?

Larique Wallace's practice location on file with NPPES is 780 E Main St, Stamford, CT 06902-3832.

What is Larique Wallace's phone number?

The practice phone number listed in the NPPES registry for Larique Wallace is (203) 353-9117.

Is Larique Wallace's NPI active?

Yes — Larique Wallace's NPI (1114592714) is active in the NPPES registry as of the last update on 2021-05-26.

IndividualActive

Larique Wallace, PHARMD

NPI 1114592714 · Pharmacist · Stamford, CT

Larique Wallace, PHARMD is a Pharmacist provider in Stamford, CT (NPI 1114592714).

Provider details

NPI number: 1114592714
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: Yes
License: PCT.0015392 (CT)

Practice location

780 E Main St

Stamford, CT 06902-3832

Phone: (203) 353-9117

Street-level locationGet directions

More CT providers

Mailing address

780 E Main St

Stamford, CT 06902-3832

Specialties & taxonomies

PharmacistPrimary183500000XLicense PCT.0015392 (CT)
Pharmacy Service Providers

Profile Score

Established profile(63/100 index)

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

Registry tenure38% of score
5 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.

Enumerated: 2021-05-25
Last updated: 2021-05-26
Certified: 2021-05-26

Frequently asked questions

What is Larique Wallace's NPI number?: Larique Wallace's National Provider Identifier (NPI) is 1114592714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Larique Wallace's specialty?: Larique Wallace is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
Where is Larique Wallace located?: Larique Wallace's practice location on file with NPPES is 780 E Main St, Stamford, CT 06902-3832.
What is Larique Wallace's phone number?: The practice phone number listed in the NPPES registry for Larique Wallace is (203) 353-9117.
Is Larique Wallace's NPI active?: Yes — Larique Wallace's NPI (1114592714) is active in the NPPES registry as of the last update on 2021-05-26.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions