Jerry Wallace , RPH
Pharmacist • Homestead, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jerry Wallace has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jerry Wallace, RPH was a registered Pharmacist practicing in Homestead, FL. Throughout an active medical career spanning 8 years, Jerry Wallace provided care at the practice location at 861 NE 8TH ST until profile deactivation on 2019-12-16.
Practice Location & Contact Primary Location
861 Ne 8th St
Homestead, FL 330305021
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Homestead, FL
Practicing in Homestead, FL (19926 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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
Pharmacist
Pharmacist
Pharmacist
Pharmacist
Registered Pharmacist
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Registered Pharmacist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 16, 2019
NPI status registered as active in NPPES database
Registered at 861 NE 8TH ST, HOMESTEAD, FL 330305021 (Tel: 3052450395)
Registered at 176 BESSIE RD, TAVERNIER, FL 330702304 (Tel: 3053932369)
Recorded as JERRY WALLACE, RPH
Pharmacist (License #PS17029 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
176 Bessie Rd
Tavernier, FL 330702304
Phone: 3053932369
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