Bob Wallace
Bob Wallace is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist provider (Pharmacist) practicing in Katy, TX, registered in the NPPES registry with NPI 1164055604 since 2020. Practices at Kroger Texas L P (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1164055604 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Bob Wallace |
| Sex | Male |
| Practice address | Katy, TX, 77450 |
| Phone | 2818288778 |
| Enumeration date | 2020-02-12 |
| Last updated in NPPES | 2020-02-12 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Primary | 30292 | TX |
Copy-ready billing details
Provider: Bob Wallace NPI: 1164055604 Taxonomy: 1835P0018X (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) Address: Katy, TX, 77450
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063585388 | Kroger Texas L P | Organization | Community/Retail Pharmacy | Katy, TX |
| 1770123960 | Rachel Bilyeu | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Katy, TX |
| 1104457704 | Roxanna Honarpour | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Katy, TX |
Verify this record
Cross-check NPI 1164055604 against the authoritative CMS record: view Bob Wallace on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Is NPI 1164055604 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-12.