THADDAEUS WALLACE PHARMD NPI 1033069448

NPI Information

  • NPI: 1033069448
  • Provider Name: THADDAEUS WALLACE, PHARMD
  • Classification: Pharmacist - 1835X0200X
  • Specialization: Oncology
  • Entity Type: Individual
  • Address: 1501 KINGS HWY
    SHREVEPORT, LA
    ZIP 71103
  • Phone: (318) 626-0852

Map and Directions

Get Directions

NPI Details

Thaddaeus Wallace, PHARMD is an oncology pharmacist in Shreveport, LA. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. Thaddaeus Wallace, PHARMD NPI is 1033069448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 626-0852

The enumeration date for this NPI number is 2/3/2026 and was last updated on 2/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835X0200XPharmacistOncology018835LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI