Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972103745 Individual Practitioner Male Practitioner

Dr. Cory Wallace , PharmD

Pharmacist • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Dr. Cory Wallace, PharmD is a registered healthcare professional specializing in Pharmacist in Broken Arrow, OK. Practice services are available at 2301 W KENOSHA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2301 W Kenosha St

Broken Arrow, OK 740128912

Telephone 9182599136
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1043237167

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Broken Arrow, OK

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

Practicing in Broken Arrow, OK (3455 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: 2020-10-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK 14955

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

4 Associated Practitioners
NPI 1033881693

Doctor of Pharmacy (Pharm.D.)

Megan Thulin

Pharmacist

NPI 1730765991
NPI 1942820386
NPI 1952902447

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 October 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2020

Registered at 2301 W KENOSHA ST, BROKEN ARROW, OK 740128912 (Tel: 9182599136)

📍
Updated Business Mailing Address October 29, 2020

Registered at 11005 S JOPLIN PL, TULSA, OK 741375023

👤
Provider Name / Credentials Updated October 29, 2020

Recorded as CORY WALLACE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2020

Pharmacist (License #14955 in OK)

🟢
Initial NPI Registration & Enumeration October 29, 2020

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: 1972103745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2020
Last Update: October 29, 2020
Sole Proprietor: Yes

Mailing Address

11005 S Joplin Pl

Tulsa, OK 741375023

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.