Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114592714 Individual Practitioner Female Practitioner

Dr. Larique Wallace , PharmD

Pharmacist • Stamford, CT

Professional Overview & Biography Verified Profile Summary

Dr. Larique Wallace, PharmD is a registered healthcare professional specializing in Pharmacist in Stamford, CT. Practice services are available at 780 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

780 E Main St

Stamford, CT 069023832

Telephone 2033539117
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1346498235

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Stamford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
122 Specialists

Practicing in Stamford, CT (3300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CT PCT.0015392

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1073140307

Pharmacist

Latifa Hadir

Pharmacist

NPI 1265860704
Olubunmi Ojo

Pharmacist

NPI 1376050948
Mohammad Islam

Pharmacist

NPI 1437424892
NPI 1558942706

Doctor of Pharmacy (Pharm.D.)

Mingming Gao

Pharmacist

NPI 1568128197

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2021

Registered at 780 E MAIN ST, STAMFORD, CT 069023832 (Tel: 2033539117)

📍
Updated Business Mailing Address May 26, 2021

Registered at 780 E MAIN ST, STAMFORD, CT 069023832 (Tel: 2033539117)

👤
Provider Name / Credentials Updated May 26, 2021

Recorded as LARIQUE WALLACE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2021

Pharmacist (License #PCT.0015392 in CT)

🟢
Initial NPI Registration & Enumeration May 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114592714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2021
Last Update: May 26, 2021
Sole Proprietor: Yes

Mailing Address

780 E Main St

Stamford, CT 069023832

Phone: 2033539117

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.