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

Dr. Jacob Tyler Wallace, PHARMD

Individual provider Pharmacist · NPI 1427338169

Dr. Jacob Tyler Wallace, PHARMD is a Pharmacist in Shelby, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
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

201 W Marion St Ste 100
Shelby, NC 28150-5094
Phone: (980) 552-4402
Fax: (704) 831-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 21863 (NC)

Record details

NPI number1427338169
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 25, 2011
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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