IndividualActive
Jack Wallace, PHARM. D
NPI 1235424516 · Pharmacist · Santa Cruz, CA
Jack Wallace, PHARM. D is a Pharmacist provider in Santa Cruz, CA (NPI 1235424516).
Provider details
- NPI number
- 1235424516
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM. D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 33200 (CA)
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
15 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
901 Soquel Ave
Santa Cruz, CA 95062-2122
Phone: (831) 426-4303
Street-level locationGet directions
Mailing address
151 Stephen Rd Apt B
Aptos, CA 95003-4667
Registry dates
- Enumerated
- 2011-06-14
- Last updated
- 2011-06-14
Frequently asked questions
- What is Jack Wallace's NPI number?
- Jack Wallace's National Provider Identifier (NPI) is 1235424516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wallace's specialty?
- Jack Wallace is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jack Wallace located?
- Jack Wallace's practice location on file with NPPES is 901 Soquel Ave, Santa Cruz, CA 95062-2122.
- What is Jack Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jack Wallace is (831) 426-4303.
- Is Jack Wallace's NPI active?
- Yes — Jack Wallace's NPI (1235424516) is active in the NPPES registry as of the last update on 2011-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.