NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wallace Pharmacy Inc

Community/Retail Pharmacy in Aberdeen, ID · enumerated 2007 · authorized official Dwight Wallace, Ceo/Pic.

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

National Provider Identifier

1710038716

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Wallace Pharmacy Inc
Other name <Unavail>
Practice address 44 S Main, Aberdeen, ID, 83210
Fax (208) 397-5215
Enumeration date Jan 16, 2007
Last updated in NPPES Mar 10, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 1129RP (ID) Primary

Authorized official

Name Dwight Wallace
Title Ceo/Pic

Other identifiers

Identifier Type State Issuer
2349700 Medicaid ID -
2019739 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

Where is Wallace Pharmacy Inc located?
The practice location on file with NPPES is in Aberdeen, ID.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-03-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-10.