What is Michael Wallace's NPI number?

Michael Wallace's National Provider Identifier (NPI) is 1356917553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Wallace's specialty?

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

Where is Michael Wallace located?

Michael Wallace's practice location on file with NPPES is 260 Arden Ave, Staten Island, NY 10312-1229.

What is Michael Wallace's phone number?

The practice phone number listed in the NPPES registry for Michael Wallace is (718) 966-5509.

Is Michael Wallace's NPI active?

Yes — Michael Wallace's NPI (1356917553) is active in the NPPES registry as of the last update on 2021-05-28.

IndividualActive

Michael Wallace

NPI 1356917553 · Pharmacist · Staten Island, NY

Michael Wallace is a Pharmacist provider in Staten Island, NY (NPI 1356917553).

Provider details

NPI number: 1356917553
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: 066034 (NY)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 066034 (NY)
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

260 Arden Ave

Staten Island, NY 10312-1229

Phone: (718) 966-5509

Street-level locationGet directions

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Mailing address