Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760039192 Individual Practitioner Male Practitioner

Kole Wallace

Pharmacist • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Kole Wallace is a registered healthcare professional specializing in Pharmacist in Mansfield, OH. Practice services are available at 1009 PARK AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1009 Park Ave W

Mansfield, OH 449062809

Telephone 4195257300
Associated Practice Facility / Clinic
🏢 Rite Aid Of Ohio Inc Facility NPI 1447369772

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mansfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Mansfield, OH (11028 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 OH 03439126

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

2 Associated Practitioners
Dawn Fraley

Pharmacist

NPI 1316238967
NPI 1720342082

BSPHARM

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2019

Registered at 1009 PARK AVE W, MANSFIELD, OH 449062809 (Tel: 4195257300)

📍
Updated Business Mailing Address August 21, 2019

Registered at 426 CHEVY CHASE RD, MANSFIELD, OH 449071547 (Tel: 9375737039)

👤
Provider Name / Credentials Updated August 21, 2019

Recorded as KOLE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2019

Pharmacist (License #03439126 in OH)

🟢
Initial NPI Registration & Enumeration August 21, 2019

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: 1760039192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2019
Last Update: August 21, 2019
Sole Proprietor: No

Mailing Address

426 Chevy Chase Rd

Mansfield, OH 449071547

Phone: 9375737039

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.