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

Jacob Michael Walls, PHARMD

Individual provider Pharmacist · NPI 1902386865

Jacob Michael Walls, PHARMD is a Pharmacist in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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

1040 Malabar Rd SE
Palm Bay, FL 32907-3251
Phone: (321) 723-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS56565 (FL)

Record details

NPI number1902386865
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESAugust 20, 2018
Mailing address6020 Flamingo Ave, Cocoa, FL 32927-8125

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