DR. JAY WILLIAM WALLACE PHARM. D. NPI 1659742716

NPI Information

  • NPI: 1659742716
  • Provider Name: DR. JAY WILLIAM WALLACE, PHARM. D.
  • Classification: Pharmacist - 1835G0303X
  • Specialization: Geriatric
  • Entity Type: Individual
  • Address: 1616 PHYSICIANS DR
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 431-5154

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NPI Details

DR. Jay William Wallace, PHARM. D. is a geriatric pharmacist in Tallahassee, FL. The provider is a pharmacist who is certified in geriatric pharmacy practice is designated as a Certified Geriatric Pharmacist (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. DR. Jay William Wallace, PHARM. D. NPI is 1659742716. 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:

1616 PHYSICIANS DR
TALLAHASSEE, FL
ZIP 32308-619
Phone: (850) 431-5154

The enumeration date for this NPI number is 10/15/2015 and was last updated on 10/15/2015.

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
11835G0303XPharmacistGeriatricPS28349FLORIDAYes

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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