DR. KRISTIE JACKSON WALLACE PHARMD NPI 1154324861

NPI Information

  • NPI: 1154324861
  • Provider Name: DR. KRISTIE JACKSON WALLACE, PHARMD
  • Classification: Pharmacist - 1835P1200X
  • Specialization: Pharmacotherapy
  • Entity Type: Individual
  • Address: 499 LAGUNA DR
    ST PETERSBURG, FL
    ZIP 33715
  • Phone: (727) 542-1340

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NPI Details

DR. Kristie Jackson Wallace, PHARMD is a pharmacotherapy pharmacist in St Petersburg, FL. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. DR. Kristie Jackson Wallace, PHARMD NPI is 1154324861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

499 LAGUNA DR
ST PETERSBURG, FL
ZIP 33715-842
Phone: (727) 542-1340
Fax: (727) 865-6040

The enumeration date for this NPI number is 5/27/2005 and was last updated on 7/8/2007.

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
11835P1200XPharmacistPharmacotherapyPS27159FLORIDAYes

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

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