What is Travis Wallace's NPI number?

Travis Wallace's National Provider Identifier (NPI) is 1437402153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Travis Wallace's specialty?

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

Where is Travis Wallace located?

Travis Wallace's practice location on file with NPPES is 1526 Broad St, Fuquay Varina, NC 27526-8363.

What is Travis Wallace's phone number?

The practice phone number listed in the NPPES registry for Travis Wallace is (919) 552-1126.

Is Travis Wallace's NPI active?

Yes — Travis Wallace's NPI (1437402153) is active in the NPPES registry as of the last update on 2012-10-18.

IndividualActive

Travis Wallace, PHARMD

NPI 1437402153 · Pharmacist · Fuquay Varina, NC

Travis Wallace, PHARMD is a Pharmacist provider in Fuquay Varina, NC (NPI 1437402153).

Provider details

NPI number: 1437402153
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: Yes
License: 20468 (NC)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 20468 (NC)
Pharmacy Service Providers

Profile Score

Detailed profile(79/100 index)

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

Registry tenure38% of score
13 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

1526 Broad St

Fuquay Varina, NC 27526-8363

Phone: (919) 552-1126

Fax: (919) 552-6017

Street-level locationGet directions

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Mailing address