Mitchell Ally Wallis
Mitchell Ally Wallis is a Pharmacist provider (Pharmacist) practicing in Broken Bow, OK, registered in the NPPES registry with NPI 1528925104 since 2026. Practices at Simpson Pharmacy, Pllc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1528925104 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mitchell Ally Wallis |
| Sex | X |
| Practice address | Broken Bow, OK, 74728 |
| Phone | 5805842850 |
| Fax | 5805842820 |
| Enumeration date | 2026-01-06 |
| Last updated in NPPES | 2026-01-06 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 21050 | OK |
Copy-ready billing details
Provider: Mitchell Wallis NPI: 1528925104 Taxonomy: 183500000X (Pharmacist) Address: Broken Bow, OK, 74728
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518923887 | Simpson Pharmacy, Pllc | Organization | Community/Retail Pharmacy | Broken Bow, OK |
Verify this record
Cross-check NPI 1528925104 against the authoritative CMS record: view Mitchell Ally Wallis 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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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-06.