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Dr. Kristie Jackson Wallace, PHARMD

Pharmacotherapy Pharmacist in St Petersburg, FL · enumerated 2005.

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

National Provider Identifier

1154324861

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Registry record

Entity type Individual (Type 1)
Name Dr. Kristie Jackson Wallace
Credential PHARMD
Sex Female
Practice address 499 Laguna Dr, St Petersburg, FL, 33715
Fax (727) 865-6040
Enumeration date May 27, 2005
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1835P1200X Pharmacotherapy Pharmacist Pharmacy Service Providers · License PS27159 (FL) Primary
PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

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.

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Frequently asked questions

Where does Kristie Wallace practice?
The practice location on file with NPPES is in St Petersburg, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kristie Wallace?
The National Provider Identifier (NPI) for Kristie Wallace is 1154324861, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.