IndividualActive
Vickie Wallace
NPI 1942577127 · Pharmacist · Port Orange, FL
Vickie Wallace is a Pharmacist provider in Port Orange, FL (NPI 1942577127).
Provider details
- NPI number
- 1942577127
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PS29744 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1650 Dunlawton Ave
Port Orange, FL 32127-4754
Phone: (386) 322-3267
Fax: (386) 322-9321
Street-level locationGet directions
Mailing address
1650 Dunlawton Ave
Port Orange, FL 32127-4754
Registry dates
- Enumerated
- 2011-11-16
- Last updated
- 2011-11-16
Frequently asked questions
- What is Vickie Wallace's NPI number?
- Vickie Wallace's National Provider Identifier (NPI) is 1942577127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vickie Wallace's specialty?
- Vickie Wallace is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Vickie Wallace located?
- Vickie Wallace's practice location on file with NPPES is 1650 Dunlawton Ave, Port Orange, FL 32127-4754.
- What is Vickie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Vickie Wallace is (386) 322-3267.
- Is Vickie Wallace's NPI active?
- Yes — Vickie Wallace's NPI (1942577127) is active in the NPPES registry as of the last update on 2011-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.