IndividualActive
Brianna Wallace, PHARMD
NPI 1649986555 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Evergreen Park, IL
Provider details
- NPI number
- 1649986555
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 051.304975 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
8700 S Kedzie Ave
Evergreen Park, IL 60805-1024
Phone: (708) 499-8051
Street-level locationGet directions
Mailing address
12349 S Meade Ave
Palos Heights, IL 60463-1834
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.