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

Dr. Thomas E Wallace III, PHARMD

Individual provider Pharmacist · NPI 1316547342

Dr. Thomas E Wallace III, PHARMD is a Pharmacist in Staten Island, New York. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2020
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

1571 Forest Ave
Staten Island, NY 10302-2226
Phone: (718) 720-5604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PCT.0015303 (CT)

Record details

NPI number1316547342
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 28, 2020
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

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