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Deactivated NPI 1235785437 Deactivated / Inactive NPI Male Practitioner

Joseph Derrick Wallace , RPH

Pharmacist • Beaumont, TX

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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, Joseph Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2019
NPI Deactivation Date November 22, 2021
Total Practice Duration ~2 Years of Practice (2019 – 2021)

Professional Overview & Biography Verified Profile Summary

Joseph Wallace, RPH was a registered Pharmacist practicing in Beaumont, TX. Throughout an active medical career spanning 2 years, Joseph Wallace provided care at the practice location at 5960 HIGHWAY 105 until profile deactivation on 2021-11-22.

Practice Location & Contact Primary Location

Practice Address

5960 Highway 105

Beaumont, TX 777083700

Telephone 4098922282
Fax 4099248206
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
156 Specialists

Practicing in Beaumont, TX (18958 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 TX 39338

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 22, 2021

Record deactivated on November 22, 2021

NPI Profile Active August 13, 2019

NPI status registered as active in NPPES database

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Updated Practice Location August 13, 2019

Registered at 5960 HIGHWAY 105, BEAUMONT, TX 777083700 (Tel: 4098922282)

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Updated Business Mailing Address August 13, 2019

Registered at 5960 HIGHWAY 105, BEAUMONT, TX 777083700 (Tel: 4098922282)

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Provider Name / Credentials Updated August 13, 2019

Recorded as JOSEPH WALLACE, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2019

Pharmacist (License #39338 in TX)

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Initial NPI Registration & Enumeration August 13, 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: 1235785437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2019
Last Update: August 13, 2019
Deactivation Date: November 22, 2021

Mailing Address

5960 Highway 105

Beaumont, TX 777083700

Phone: 4098922282

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.