Carol H Wallace
NPI 1962581702 · Community/Retail Pharmacy · Winchester, TN
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carol H Wallace is a Community/Retail Pharmacy organization in Winchester, TN (NPI 1962581702).
Provider details
- NPI number
- 1962581702
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carol Wallace, Pic Owner(931) 967-2777
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
185 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 112 | $29 |
| Admn Sarscov2 Vacc 1 Dose90480 | 60 | $39 |
| Administration of Pneumococcal VaccineG0009 | 13 | $30 |
Typical Medicare-allowed amounts for these services range $29–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bennett'S Pharmacy
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Carol H Wallace's NPI number?
- Carol H Wallace's National Provider Identifier (NPI) is 1962581702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carol H Wallace?
- Carol H Wallace is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Carol H Wallace located?
- Carol H Wallace's practice location on file with NPPES is 1201 Dinah Shore Boulevard, Winchester, TN 37398.
- What is Carol H Wallace's phone number?
- The practice phone number listed in the NPPES registry for Carol H Wallace is (931) 967-2777.
- Does Carol H Wallace accept Medicare?
- Carol H Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Carol H Wallace?
- The authorized official listed on Carol H Wallace's NPPES record is Carol Wallace, Pic Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carol H Wallace's NPI active?
- Yes — Carol H Wallace's NPI (1962581702) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.