J Wallace LLC

J Wallace LLC is a healthcare organization registered as Community/Retail Pharmacy in Williamstown, KY, holding Type 2 (organization) NPI 1184728149 since 2006. The authorized official on file is Jason Wallace, Owner.

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NPI	1184728149
Entity type	Organization (Type 2)
Legal business name	J Wallace LLC
Other name	<Unavail>
Practice address	302A BARNES RD, Williamstown, KY, 41097
Phone	8598244239
Fax	8598242110
Enumeration date	2006-09-12
Last updated in NPPES	2025-05-02

Authorized official

Name	Jason Wallace
Title	Owner
Phone	8598244239

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332BC3200X	Customized Equipment (DME)	Secondary	P06979	KY
3336C0003X	Community/Retail Pharmacy	Primary	PO6979	KY

Other identifiers

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

Copy-ready billing details

Provider: J Wallace LLC
NPI: 1184728149
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 302A BARNES RD, Williamstown, KY, 41097

Verify this record

Cross-check NPI 1184728149 against the authoritative CMS record: view J Wallace LLC 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

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 2026-07-11. Provider record last updated 2025-05-02.