Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jay William Wallace, PHARMD

Individual provider Geriatric Pharmacist · NPI 1659742716

Dr. Jay William Wallace, PHARMD is a Geriatric Pharmacist in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1616 Physicians Dr
Tallahassee, FL 32308-4619
Phone: (850) 431-5154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Pharmacist (primary) Taxonomy 1835G0303X · Licence PS28349 (FL)

Record details

NPI number1659742716
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 15, 2015
Last updated in NPPESOctober 15, 2015

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