Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114496973 Individual Practitioner Male Practitioner

Dr. Braden Jacob Wallace , PharmD

Pharmacist • Santa Fe, NM

Professional Overview & Biography Verified Profile Summary

Dr. Braden Wallace, PharmD is a registered healthcare professional specializing in Pharmacist in Santa Fe, NM. Practice services are available at 1700 CERRILLOS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 Cerrillos Rd

Santa Fe, NM 875053026

Telephone 5059469387
Associated Practice Facility / Clinic
🏢 Santa Fe Indian Hospital Facility NPI 1740266980

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Santa Fe, NM

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

Practicing in Santa Fe, NM (2025 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CO 0022441

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist License Number
PHA.0022441 (CO)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1003325382

Doctor of Pharmacy (Pharm.D.)

Caleb Howard

Pharmacist - Ambulatory Care

NPI 1154082634
NPI 1225036635

Doctor of Pharmacy (Pharm.D.)

NPI 1255432332

Doctor of Pharmacy (Pharm.D.)

DOCTOROFPHARMACY

NPI 1346237641

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2018

Registered at 1700 CERRILLOS RD, SANTA FE, NM 875053026 (Tel: 5059469387)

📍
Updated Business Mailing Address November 21, 2018

Registered at 3600 CERRILLOS RD STE 732, SANTA FE, NM 875072689 (Tel: 9189896276)

👤
Provider Name / Credentials Updated November 21, 2018

Recorded as BRADEN WALLACE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2018

Pharmacist (License #0022441 in CO)

🟢
Initial NPI Registration & Enumeration November 21, 2018

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: 1114496973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2018
Last Update: November 21, 2018
Sole Proprietor: No

Mailing Address

3600 Cerrillos Rd Ste 732

Santa Fe, NM 875072689

Phone: 9189896276

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.