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Braden Jacob Wallace, PHARMD

Pharmacist in Santa Fe, NM · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114496973

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Registry record

Entity type Individual (Type 1)
Name Braden Jacob Wallace
Credential PHARMD
Sex Male
Practice address 1700 Cerrillos Rd, Santa Fe, NM, 87505
Phone (505) 946-9387
Enumeration date Nov 21, 2018
Last updated in NPPES Nov 21, 2018

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 0022441 (CO) Primary
PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

Other identifiers

Identifier Type State Issuer
PHA.0022441 Other CO PHARMACIST LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1114496973 active?
Yes, as of the latest NPPES snapshot, NPI 1114496973 is active (record last updated 2018-11-21).
How do I verify Braden Wallace's NPI record?
Cross-check NPI 1114496973 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-21.