IndividualActive
Bryce Wallace, PHARMD
NPI 1316722259 · Pharmacist · Portageville, MO
Bryce Wallace, PHARMD is a Pharmacist provider in Portageville, MO (NPI 1316722259).
Provider details
- NPI number
- 1316722259
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021038939 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
222 E Main St
Portageville, MO 63873-1614
Phone: (573) 379-5460
Fax: (573) 379-5459
Street-level locationGet directions
Mailing address
101 Richland Rd
Portageville, MO 63873-9102
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2023-08-29
- Certified
- 2023-08-29
Frequently asked questions
- What is Bryce Wallace's NPI number?
- Bryce Wallace's National Provider Identifier (NPI) is 1316722259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryce Wallace's specialty?
- Bryce Wallace is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Bryce Wallace located?
- Bryce Wallace's practice location on file with NPPES is 222 E Main St, Portageville, MO 63873-1614.
- What is Bryce Wallace's phone number?
- The practice phone number listed in the NPPES registry for Bryce Wallace is (573) 379-5460.
- Is Bryce Wallace's NPI active?
- Yes — Bryce Wallace's NPI (1316722259) is active in the NPPES registry as of the last update on 2023-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.