What is Tara Costa-Wallace's NPI number?

Tara Costa-Wallace's National Provider Identifier (NPI) is 1629224456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tara Costa-Wallace's specialty?

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

Where is Tara Costa-Wallace located?

Tara Costa-Wallace's practice location on file with NPPES is 580 Metacom Ave, Bristol, RI 02809-5182.

What is Tara Costa-Wallace's phone number?

The practice phone number listed in the NPPES registry for Tara Costa-Wallace is (401) 253-2723.

Is Tara Costa-Wallace's NPI active?

Yes — Tara Costa-Wallace's NPI (1629224456) is active in the NPPES registry as of the last update on 2008-08-12.

IndividualActive

Tara Costa-Wallace, PHARMD

NPI 1629224456 · Pharmacist · Bristol, RI

Tara Costa-Wallace, PHARMD is a Pharmacist provider in Bristol, RI (NPI 1629224456).

Provider details

NPI number: 1629224456
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: No
License: RPH03692 (RI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense RPH03692 (RI)
Pharmacy Service Providers

Profile Score

Detailed profile(87/100 index)

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

Registry tenure38% of score
17 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

580 Metacom Ave

Bristol, RI 02809-5182

Phone: (401) 253-2723

Fax: (401) 253-3980

Street-level locationGet directions

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Mailing address