Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659031052 Individual Practitioner Male Practitioner

Michael Shawn Wallace , PHARMACIST

Pharmacist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Michael Wallace, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Tyler, TX. Practice services are available at 4285 CHANDLER HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4285 Chandler Hwy

Tyler, TX 757027604

Telephone 9036309250
Associated Practice Facility / Clinic
🏢 Qltc Pharmacy Solutions, Llc Facility NPI 1942793591

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tyler, TX

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

Practicing in Tyler, 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

CMS Verified: 2021-12-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 32751

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 None
NONE

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1619553732

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 December 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2021

Registered at 4285 CHANDLER HWY, TYLER, TX 757027604 (Tel: 9036309250)

📍
Updated Business Mailing Address December 27, 2021

Registered at 4285 CHANDLER HWY, TYLER, TX 757027604 (Tel: 9036309250)

👤
Provider Name / Credentials Updated December 27, 2021

Recorded as MICHAEL WALLACE, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2021

Pharmacist (License #32751 in TX)

🟢
Initial NPI Registration & Enumeration December 27, 2021

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: 1659031052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2021
Last Update: December 27, 2021
Sole Proprietor: Yes

Mailing Address

4285 Chandler Hwy

Tyler, TX 757027604

Phone: 9036309250

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.