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

Jessica Wallace

Individual provider Pharmacist · NPI 1245577907

Jessica Wallace is a Pharmacist in Washington, District of Columbia. Licensed in District of Columbia and Georgia. Registered with an NPI since 2013.

Licensed in
DC, GA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (202) 476-8586
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH100002131 (DC)
Pharmacist Taxonomy 183500000X · Licence RPH026896 (GA)

Record details

NPI number1245577907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2013
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

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