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)

Specialties & taxonomies

PharmacistPrimary183500000XLicense PCT.0015392 (CT)
Pharmacy Service Providers

Profile Score

Established profile(62/100 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.

Practice location

780 E Main St

Stamford, CT 06902-3832

Phone: (203) 353-9117

Street-level locationGet directions

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Mailing address