Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kennis Hal Wallace Jr., RPH
Pharmacist in Harrisburg, IL · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1811981939
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Registry record
Entity type Individual (Type 1)
Name Kennis Hal Wallace Jr.
Credential RPH
Sex Male
Practice address 303 S Commercial St, Parker Plaza, Harrisburg, IL, 62946
Phone (618) 253-7621
Fax (618) 252-7455
Enumeration date Sep 2, 2005
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
RPH · Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy.
About the RPH credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370921467001 | Medicaid | IL | - |
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.
Frequently asked questions
Where does Kennis Wallace practice?
The practice location on file with NPPES is in Harrisburg, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kennis Wallace?
The National Provider Identifier (NPI) for Kennis Wallace is 1811981939, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.