Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

J Wallace LLC

Community/Retail Pharmacy in Williamstown, KY · enumerated 2006 · authorized official Jason Wallace, Owner.

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

National Provider Identifier

1184728149

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name J Wallace LLC

Other name <Unavail>

Practice address 302a Barnes Rd, Williamstown, KY, 41097

Phone (859) 824-4239

Fax (859) 824-2110

Enumeration date Sep 12, 2006

Last updated in NPPES May 2, 2025

Taxonomy & classification

332BC3200X Customized Equipment (DME) Suppliers · License P06979 (KY) Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License PO6979 (KY) Primary

Authorized official

Name Jason Wallace

Title Owner

Phone (859) 824-4239

Other identifiers

Identifier	Type	State	Issuer
54009139	Medicaid	KY	-
90011560	Medicaid	KY	-
2029150	Other	-	PK

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-02. Verify at npiregistry.cms.hhs.gov.

Where is J Wallace LLC located?

The practice location on file with NPPES is in Williamstown, KY.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-02.