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

Dr. Kristie Jackson Wallace, PHARMD

Individual provider Pharmacotherapy Pharmacist · NPI 1154324861

Dr. Kristie Jackson Wallace, PHARMD is a Pharmacotherapy Pharmacist in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

499 Laguna Dr
St Petersburg, FL 33715-1842
Phone: (727) 542-1340
Fax: (727) 865-6040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence PS27159 (FL)

Record details

NPI number1154324861
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESJuly 13, 2026

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